Active NPI
Marefa Siddique, PA-C
- Medical Physician Assistant
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA051891
- Practice address
- 1255 S Cedar Crest Blvd
Suite 2200
Allentown, PA 18103-6256 - Phone
- (610) 437-9006
- Fax
- (610) 437-1404
- NPI assigned
- Jan 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA051891 | PA | Primary |
Addresses
Primary practice location
1255 S Cedar Crest Blvd
Suite 2200
Allentown, PA 18103-6256
Mailing address
1255 S Cedar Crest Blvd
Suite 2200
Allentown, PA 18103-6256
Phone (610) 437-9006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Gallows Rd
Falls Church, VA 22042-3307
3800 Fettler Park Dr
Suite 312
Dumfries, VA 22025-2043
Phone (571) 472-6791
Hospital & facility affiliations
- Inova Fairfax Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA051891 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Past | Accepting new patients | |
| Inova Physician Partners, LLC | Past | Accepting new patients |
Locations
1500 N Beauregard St
Ste 300
Alexandria, VA 22311
Phone (703) 845-1500
4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000
611 S Carlin Springs Rd
Ste 410
Arlington, VA 22204
Phone (703) 931-4404
3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223
3800 Fettler Park Dr
Ste 312
Dumfries, VA 22025
Phone (571) 472-6791
8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Interoperability endpoints
- msiddique13202@soc.inova.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Diagnostic Radiology Physician
- Waldorf, MD
- NPI 1851829550
-
- Family Medicine Physician
- Chantilly, VA
- NPI 1215264916
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1053597831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 S CEDAR CREST BLVD",
"address_2": "SUITE 2200",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036256",
"telephone_number": "610-437-9006",
"fax_number": "610-437-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 S CEDAR CREST BLVD",
"address_2": "SUITE 2200",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036256",
"telephone_number": "610-437-9006",
"fax_number": "610-437-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUE",
"first_name": "MAREFA",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-11",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA051891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.