Individual provider Active NPI

Mohammad Nameer Sidiquee

  • Sports Medicine (Family Medicine) Physician
  • Spring, TX
National Provider Identifier
1023329190
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
Q0563 Issued in TX
Practice address
7105 FM 2920 Rd
Spring, TX 77379-2210
Phone
(281) 737-0902
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X Q0563 TX Primary

Addresses

Primary practice location

7105 FM 2920 Rd
Spring, TX 77379-2210

Mailing address

4023 Tim Allen CT
Houston, TX 77014-1874
Phone (917) 658-5376

Other identifiers 1

IdentifierTypeStateIssuer
Q0563OtherTXTEXAS MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141017000868 TX Practitioner - Family Practice 2567683469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Group PLLCGroup PAC ID 8022334481, 13 clinicians

Practice addresses (Care Compare)

546 E Sandy Lake Rd
Suite 250
Coppell, TX 75019-5791
Phone (866) 607-2308

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q0563TXMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Sports Medicine CurrentSince Jul 19, 2016 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jul 19, 2016 Accepting new patients
Texas Group PLLC CurrentSince Jun 28, 2024 Accepting new patients
MVC Az Past Accepting new patients

Locations

1105 Central Expy N
Ste 2240
Allen, TX 75013
Phone (972) 747-5800

515 W Mayfield Rd
Ste 400
Arlington, TX 76014

3705 Medical Pkwy
Ste 510
Austin, TX 78705
Phone (512) 454-6723

546 E Sandy Lake Rd
Ste 250
Coppell, TX 75019
Phone (469) 307-5109

21216 Northwest Fwy
Ste 240
Cypress, TX 77429
Phone (281) 955-5500

9330 Poppy Dr
Ste 507
Dallas, TX 75218
Phone (469) 619-2900

10840 Texas Health Trl
Ste 270
Fort Worth, TX 76244
Phone (682) 212-6437

5575 Warren Pkwy
Ste 310
Frisco, TX 75034
Phone (214) 618-3890

800 8th Ave
Ste 426
Ft Worth, TX 76104
Phone (817) 334-0686

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

7500 Fannin St
Ste 240
Houston, TX 77054

16840 Buccaneer Ln
Ste 120
Houston, TX 77058
Phone (281) 299-3455

427 W 20th St
Ste 600
Houston, TX 77008

705 S Fry Rd
Ste 325
Katy, TX 77450
Phone (281) 829-9908

511 Oakwood Blvd
Ste 150
Round Rock, TX 78681
Phone (248) 629-2176

540 Madison Oak Dr
Ste 350
San Antonio, TX 78258
Phone (210) 490-7470

9191 Pinecroft Dr
Ste 290
Shenandoah, TX 77380
Phone (281) 363-3508

7105 FM 2920 Rd
Spring, TX 77379
Phone (281) 737-0902

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010

Interoperability endpoints

  • Direct secure messaging: msidiquee66131@direct.houstonmethodist.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023329190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 TIM ALLEN CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141874",
            "telephone_number": "917-658-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 FM 2920 RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792210",
            "telephone_number": "281-737-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDIQUEE",
        "first_name": "MOHAMMAD",
        "middle_name": "NAMEER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "Q0563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "Q0563",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.