Individual provider Active NPI

Junaid Siddiqui, MD

  • Gastroenterology Physician
  • Cedar Park, TX
National Provider Identifier
1093750770
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M9653 Issued in TX
Practice address
801 E Whitestone Blvd
Ste. 201
Cedar Park, TX 78613-5028
Phone
(512) 341-0900
Fax
(512) 341-2895
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 36184 IA
Gastroenterology Physician 207RG0100X M9653 TX Primary
Gastroenterology Physician 207RG0100X 36184 IA

Addresses

Primary practice location

801 E Whitestone Blvd
Ste. 201
Cedar Park, TX 78613-5028

Mailing address

801 E Whitestone Blvd
Ste. 201
Cedar Park, TX 78613-5028
Phone (512) 341-0900

Other identifiers 2

IdentifierTypeStateIssuer
36184OtherIASTATE MEDICAL LICENSE
M9653OtherTXSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080905000558 TX Practitioner - Gastroenterology 7315030434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1010 Ranch Rd 620
Suite 107
Lakeway, TX 78734-5638
Phone (512) 341-0900

5425 W Spring Creek Pkwy
Suite 205
Plano, TX 75024-4236
Phone (972) 526-5860

601 S Main St
Keller, TX 76248-7029
Phone (817) 741-4347

P O Box
Suite 35629
Dallas, TX 75235-0629

PO Box
Suite 35629
Dallas, TX 75235-0629

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy129
Upper gastrointestinal (GI) endoscopy for acid reflux190

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Oct 1, 2016 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Oct 1, 2016 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
McAllen Hospitalist Group, PLLC Past Accepting new patients
Covenant Medical Center, Inc. Past Accepting new patients

Locations

1411 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 551-3490

801 E Whitestone Blvd
Ste 201
Cedar Park, TX 78613
Phone 5123410900 ext. 21442

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

1010 Ranch Road 620 S
Ste 107
Lakeway, TX 78734
Phone (512) 233-4607

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

7215 Wyoming Springs Dr
Ste 300
Round Rock, TX 78681
Phone (512) 388-1190

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.

Hospital & facility affiliations 4

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1093750770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E WHITESTONE BLVD",
            "address_2": "STE. 201",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135028",
            "telephone_number": "512-341-0900",
            "fax_number": "512-341-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WHITESTONE BLVD",
            "address_2": "STE. 201",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135028",
            "telephone_number": "512-341-0900",
            "fax_number": "512-341-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "JUNAID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "36184",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M9653",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "36184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "36184",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "M9653",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.