NPIMap

Individual provider Active NPI

Atif Siddiqui, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Houston, TX
National Provider Identifier
1063695336
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
P8540 Issued in TX
Practice address
1500 Citywest Blvd Ste 300
Houston, TX 77042-2549
Phone
(713) 620-4000
Fax
(713) 458-4229
NPI assigned
Dec 10, 2007
Last updated
Apr 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10027674 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X P8540 TX Primary

Addresses

Primary practice location

1500 Citywest Blvd Ste 300
Houston, TX 77042-2549

Mailing address

PO Box 650865
Dallas, TX 75265-0865
Phone (972) 233-1999

Other practice location 1

701 W 5th St
Odessa, TX 79763-4206
Phone (432) 335-5250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141007000375 TX Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Pulmonary Disease 6305961590 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Hospice/Palliative Care, Internal Medicine, Pulmonary Disease
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6441 Main St
Houston, TX 77030-1502
Phone (713) 807-8686

7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 456-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10027674TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Internal Medicine CurrentSince Feb 14, 2019 Accepting new patients
U S Anesthesia Partners of Texas, PA CurrentSince Apr 1, 2018 Accepting new patients
Ut Physicians CurrentSince Feb 14, 2019 Accepting new patients
Medical Center Pulmonary Consultant LLC CurrentSince Jun 4, 2018 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., CurrentSince Apr 1, 2018 Accepting new patients
Apogee Medical Group Texas PA Internal Medicine CurrentSince Jun 2, 2014 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince Jun 24, 2017 Accepting new patients
KND Development 59, LLC CurrentSince Jun 24, 2017 Accepting new patients

Locations

201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587

1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

6550 Fannin St
Ste 2321
Houston, TX 77030
Phone (713) 791-9989

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

1550 First Colony Blvd
Sugar Land, TX 77479
Phone (281) 275-6000

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: asiddiqui32716@directhoustonmethodist.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDJBDA/Endpoint/IDJBDA

Organizations & group practices 9

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 7

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": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1063695336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650865",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650865",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CITYWEST BLVD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422549",
            "telephone_number": "713-620-4000",
            "fax_number": "713-458-4229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797634206",
            "country_code": "US",
            "telephone_number": "432-335-5250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "ATIF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10027674",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "P8540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.