Individual provider Active NPI

Wasia Siddiqui

  • Physician Assistant
  • Flint, MI
National Provider Identifier
1063257707
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012505 Issued in MI
Practice address
1201 Flushing Rd
Flint, MI 48504-4730
Phone
(810) 235-8532
NPI assigned
Jun 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012505 MI Primary

Addresses

Primary practice location

1201 Flushing Rd
Flint, MI 48504-4730

Mailing address

1201 Flushing Rd
Flint, MI 48504-4730
Phone (810) 235-8532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819001298 MI Practitioner - Physician Assistant 6507304821 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmed a. Arif MD PC CurrentSince Jun 27, 2015 Accepting new patients
Asthma, Allergy and Sinus Center, PC Past Accepting new patients

Locations

1201 Flushing Rd
Flint, MI 48504
Phone (810) 232-9100

1201 Flushing Rd
Ste 1
Flint, MI 48504
Phone (810) 235-8531

4400 S Saginaw St
Ste 1315
Flint, MI 48507
Phone (810) 235-8861

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": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1063257707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 FLUSHING RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044730",
            "telephone_number": "810-235-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FLUSHING RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044730",
            "telephone_number": "810-235-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "WASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.