Individual provider Active NPI

Sarwat Waqar Siddiqui, M.D.

  • Anatomic Pathology Physician
  • Rockville, MD
National Provider Identifier
1053615104
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
D0075333 Issued in MD
Practice address
1600 E Gude Dr Ste 205
Rockville, MD 20850-1497
Phone
(301) 933-7133
NPI assigned
Jan 4, 2011
Last updated
Nov 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD037162 DC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101246187 VA
Anatomic Pathology Physician 207ZP0101X D0075333 MD Primary

Addresses

Primary practice location

1600 E Gude Dr Ste 205
Rockville, MD 20850-1497

Mailing address

1600 E Gude Dr
Ste 200
Rockville, MD 20850-1496
Phone (301) 933-7133

Other practice location 1

8842 Eagle Rock Ln
Springfield, VA 22153-1722
Phone (703) 455-1638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180226002698 MD Practitioner - Pathology 3072874510 Reassigns benefits to 2 organizations
I20180328000187 DC Practitioner - Pathology 3072874510 Reassigns benefits to 3 organizations
I20180910000713 VA Practitioner - Pathology 3072874510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Hospital-Based Providers, LLCGroup PAC ID 3173044815, 7 clinicians

Practice addresses (Care Compare)

11890 Healing Way
Silver Spring, MD 20904-7917
Phone (240) 637-4000

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6000

9909 Medical Ctr Dr
Rockville, MD 20850-6361
Phone (240) 864-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0075333MDMDAnatomic Pathology Physician
MD037162DCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pathology Associates, LLC CurrentSince Jan 1, 2021 Accepting new patients
Adventist Hospital-Based Providers, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 14, 2025 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Anatomic Pathology Past Accepting new patients
Blackwell Physicians, LLC Past Accepting new patients

Locations

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

Organizations & group practices 5

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1053615104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E GUDE DR",
            "address_2": "STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501496",
            "telephone_number": "301-933-7133",
            "fax_number": "301-933-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E GUDE DR STE 205",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501497",
            "telephone_number": "301-933-7133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8842 Eagle Rock Ln",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221531722",
            "country_code": "US",
            "telephone_number": "703-455-1638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SARWAT",
        "middle_name": "WAQAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "DC",
            "license": "MD037162",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101246187",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MD",
            "license": "D0075333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.