NEBIL SIRAJ MUKTAR – Physician Assistant, NPI 1053020537

NEBIL SIRAJ MUKTAR is a healthcare provider. based in Richmond, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA16144 (TX). The NPI Number for NEBIL SIRAJ MUKTAR is 1053020537

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
NEBIL SIRAJ MUKTAR
NPI
1053020537
Phone
(281) 762-0355
Address
4828 WATER VIEW TOWN CENTER
Enumeration Date
23 November 2022
Last Update Date
23 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8324276015
Graduation Year
2022 (4 years ago)
PAC ID
8820529282
Group Practice PAC ID
3971804188
Professional Enrollment ID
I20241009002438
Address ID
TX774072385RI4828XDRXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for NEBIL SIRAJ MUKTAR

  • 4828 WATER VIEW TOWN CENTER

    SUITE 100

    RICHMOND, TX 77407

    Phone: (281) 762-0355

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241009002438IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77407)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971804188View full group profile
NameSpecialtyState
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerOK
Physician AssistantTX
Family Practice, Emergency Medicine, General SurgeryTX
Nurse PractitionerTX
Nurse PractitionerOK

Reviews

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Frequently asked questions

What federal number belongs to NEBIL SIRAJ MUKTAR?
The federal identifier for NEBIL SIRAJ MUKTAR is NPI 1053020537.
Is NEBIL SIRAJ MUKTAR active in the national directory?
NEBIL SIRAJ MUKTAR's public NPI profile is in an active state.
What does NEBIL SIRAJ MUKTAR treat or focus on?
Patients typically see NEBIL SIRAJ MUKTAR under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is NEBIL SIRAJ MUKTAR's primary listing?
We display Richmond, Texas because that is what the record indicates for NEBIL SIRAJ MUKTAR.
What if Richmond, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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