Active NPI
Shaz Siddiqi, M.D.
- Allergy & Immunology Physician
- Lansdowne, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 0101250699
- Practice address
- 44160 Scholar PLZ
Suite 390
Lansdowne, VA 20176-3459 - Phone
- (703) 938-3900
- Fax
- (703) 726-2579
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 0101250699 | VA | Primary |
| Allergy & Immunology Physician | 207K00000X | D0062974 | MD |
Addresses
Primary practice location
44160 Scholar PLZ
Suite 390
Lansdowne, VA 20176-3459
Mailing address
44160 Scholar PLZ
Suite 390
Lansdowne, VA 20176-3459
Phone (703) 938-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020282ZRGM | Other | DC | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14995 Shady Grove Rd
Suite 100
Rockville, MD 20850-8733
Phone (301) 869-7820
6021 University Blvd
Suite 265
Ellicott City, MD 21043-8503
Phone (410) 772-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0062974 | MD | MD | Allergy & Immunology Physician |
| 0101250699 | VA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asthma & Allergy Center LLC | Allergy & Immunology | Current | Accepting new patients |
| Family ENT Allergy and Asthma Center PC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
208 Plumtree Rd
Ste B
Bel Air, MD 21015
Phone (410) 638-1999
6021 University Blvd
Ste 265
Ellicott City, MD 21043
Phone (410) 772-8000
161 Thomas Johnson Dr
Ste 150
Frederick, MD 21702
Phone (301) 662-1244
12850 Middlebrook Rd
Ste 103
Germantown, MD 20874
Phone (301) 972-9433
7501 Greenway Center Dr
Ste 440
Greenbelt, MD 20770
Phone (301) 220-1333
14995 Shady Grove Rd
Ste 100
Rockville, MD 20850
Phone (301) 869-7820
2500 Legacy Dr
Ste 200
Frisco, TX 75034
Organizations & group practices 3
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.
-
- Specialist
- Gaithersburg, MD
- NPI 1659396703
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1093750796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44160 SCHOLAR PLZ",
"address_2": "SUITE 390",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201763459",
"telephone_number": "703-938-3900",
"fax_number": "703-726-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44160 SCHOLAR PLZ",
"address_2": "SUITE 390",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201763459",
"telephone_number": "703-938-3900",
"fax_number": "703-726-2579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQI",
"first_name": "SHAZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "VA",
"license": "0101250699",
"primary": true
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MD",
"license": "D0062974",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "020282ZRGM",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansdowne, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.