Individual provider Active NPI

Khuram Siddiqi, M.D.

  • Internal Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1093859993
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M7628 Issued in TX
Practice address
800 Bonaventure Way Ste 151
Sugar Land, TX 77479-8007
Phone
(346) 754-3302
Fax
(832) 944-6219
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M7628 TX Primary

Addresses

Primary practice location

800 Bonaventure Way Ste 151
Sugar Land, TX 77479-8007

Mailing address

800 Bonaventure Way Ste 151
Sugar Land, TX 77479-8007
Phone (346) 754-3302

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
I20080227000809 TX Practitioner - Internal Medicine 7214011394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

13031 Wortham Ctr Dr
Encompass Health Cypress
Houston, TX 77065-5662
Phone (832) 280-2500

1800 W 26TH St
Kindred Hospital Heights
Houston, TX 77008-1450
Phone (832) 673-4200

23331 Grand Reserve Dr
Katy, TX 77494-4850
Phone (281) 505-3500

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

Hospital & facility affiliations

  • Phoenix Family Healthcare Inc. Home health agency, Houston, TX, CCN 747186
  • Enhabit Home Health Home health agency, Houston, TX, CCN 673134
  • Allstar Hospice Hospice, Sugar Land, TX, CCN 671757
  • Encompass Health Rehabilitation Hospital of Katy Inpatient rehabilitation facility, Katy, TX, CCN 673071
  • Tirr Memorial Hermann Inpatient rehabilitation facility, Houston, TX, CCN 453025
  • Memorial Hermann Rehabilitation Hospital Katy Inpatient rehabilitation facility, Katy, TX, CCN 673038

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
63.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7628TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Encompass Health Rehabilitation Hospital of Katy, LLC Past Accepting new patients
Hospitalist Medicine Physicians of Monterey County Inc. Internal Medicine Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine Past Accepting new patients
Quantum Hospital Medicine Services of Texas PA Internal Medicine Past Accepting new patients

Locations

13031 Wortham Center Dr
Houston, TX 77065
Phone (713) 953-8677

4545 Post Oak Place Dr
Ste 130
Houston, TX 77027
Phone 7139608008107

13428 Bissonnet St
Houston, TX 77083
Phone (210) 757-4987

23331 Grand Reserve Dr
Katy, TX 77494
Phone (281) 505-3500

6800 Preston Rd
Plano, TX 75024
Phone (214) 473-3634

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Allstar HospiceSugar Land, TX, CCN 671757 Hospice Contracted Managing Employee Mar 20, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 6

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1093859993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BONAVENTURE WAY STE 151",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798007",
            "telephone_number": "346-754-3302",
            "fax_number": "832-944-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BONAVENTURE WAY STE 151",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798007",
            "telephone_number": "346-754-3302",
            "fax_number": "832-944-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "KHURAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M7628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.