Juwairriyyah Abdul Wahid Siddiqui, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

W1504 Issued in TX

Practice address

8934 S Broadway Ave Ste 448
Tyler, TX 75703-5475

Phone

(903) 606-5100

Fax

(903) 606-5105

NPI assigned

May 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Pediatric Medicine

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1083270805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 RIVERSIDE DR APT 14J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273240",
            "telephone_number": "917-250-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8934 S BROADWAY AVE STE 448",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035475",
            "telephone_number": "903-606-5100",
            "fax_number": "903-606-5105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E Front St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757028414",
            "country_code": "US",
            "telephone_number": "903-606-3630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 Lenox Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100371802",
            "country_code": "US",
            "telephone_number": "212-939-4019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "JUWAIRRIYYAH",
        "middle_name": "ABDUL WAHID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "TX",
            "license": "W1504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marsh Shupe, MD
• Jimmy Maurice Shupe, HIS
• Timothy R Shutter, MD
• Amanda Leigh Shuttlesworth, LMSW
• Hamza Siddiqui, DO
• Zubair Pasha Siddiqui, M.D.
• Moises A Sidransky, M.D
• Sigal Heart Center, P.a.
• Barbara Jean Sigal, MD
• Robert Sigala, MD

• Pediatric Endocrinology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Pediatric Endocrinology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.

Verify at the official NPI Registry.