Individual provider Active NPI

Muhammad Mannan Siddiqui, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Manassas, VA
National Provider Identifier
1093953168
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
0101245312 Issued in VA
Practice address
9450 Innovation Dr
Manassas, VA 20110-2214
Phone
(571) 350-8400
Fax
(571) 222-2202
NPI assigned
Jan 28, 2009
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 0101245312 VA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 0101245312 VA Primary

Addresses

Primary practice location

9450 Innovation Dr
Manassas, VA 20110-2214

Mailing address

3040 Williams Dr Ste 100
Fairfax, VA 22031-4618
Phone (571) 350-8400

Other identifiers 1

IdentifierTypeStateIssuer
1093953168MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address muhammad.siddiqui@vcs.ikm.direct-ci.com Health Information Exchange (HIE) Virginia Cancer Specialists, P.C.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091222000113 DC Practitioner - Hospice/Palliative Care 0749320836 Reassigns benefits to 3 organizations
I20160928001332 VA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 0749320836 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Alliance Medical Team LLCGroup PAC ID 9133652852, 16 clinicians

Practice addresses (Care Compare)

14906 Richmond Hwy
Woodbridge, VA 22191-4016
Phone (609) 335-6595

2280 Opitz Blvd
Suite 130
Woodbridge, VA 22191-3362
Phone (703) 986-1600

2729 King St
Alexandria, VA 22302-4008
Phone (609) 335-6595

8613 Route 29
200N
Fairfax, VA 22031-2171
Phone (703) 280-5390

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101245312VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Specialists, P.C. CurrentSince Sep 1, 2016 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Feb 11, 2018 Accepting new patients
Virginia Cancer Specialists, P.C. CurrentSince Sep 1, 2016 Accepting new patients
Alliance Medical Team LLC Internal Medicine CurrentSince Dec 8, 2025 Accepting new patients
Inova Health Care Services CurrentSince Apr 7, 2014 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Apr 7, 2014 Accepting new patients
Capital Palliative Care Consultants, LLC Hospice and Palliative Medicine Past Accepting new patients

Locations (25 of 26)

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

2729 King St
Alexandria, VA 22302
Phone (703) 744-0155

277 S Washington St
Ste 100
Alexandria, VA 22314
Phone (571) 366-5792

4660 Kenmore Ave
Ste 1018
Alexandria, VA 22304
Phone (571) 483-1800

1100 N Glebe Rd
Ste 1600
Arlington, VA 22201

3040 Williams Dr
Ste 100
Fairfax, VA 22031

3700 Joseph Siewick Dr
Ste 408
Fairfax, VA 22033
Phone (703) 391-3620

8503 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (703) 207-8600

8613 Route 29
#200N
Fairfax, VA 22031
Phone (703) 280-5390

8613 Route 29
Ste 100N
Fairfax, VA 22031
Phone (703) 934-4450

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

2715 Dogtown Rd
Goochland, VA 23063
Phone (609) 335-6595

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44035 Riverside Pkwy
Ste 300
Leesburg, VA 20176
Phone (703) 208-3155

44035 Riverside Pkwy
Ste 310
Leesburg, VA 20176

9450 Innovation Dr
Manassas, VA 20110
Phone (571) 222-2200

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1860 Town Center Dr
Ste 460
Reston, VA 20190
Phone (703) 437-6535

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

210 W Shirley Ave
#111
Warrenton, VA 20186
Phone (703) 208-9331

210 W Shirley Ave
Ste 192
Warrenton, VA 20186
Phone (540) 316-4360

14906 Richmond Hwy
Woodbridge, VA 22191
Phone (609) 335-6595

2280 Opitz Blvd
#130
Woodbridge, VA 22191
Phone (703) 897-5358

2280 Opitz Blvd
Ste 130
Woodbridge, VA 22191
Phone (713) 508-4005

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • Direct secure messaging: muhammad.siddiqui@vcs.ikm.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1093953168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 WILLIAMS DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314618",
            "telephone_number": "571-350-8400",
            "fax_number": "703-724-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 INNOVATION DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102214",
            "telephone_number": "571-350-8400",
            "fax_number": "571-222-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MUHAMMAD",
        "middle_name": "MANNAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101245312",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "0101245312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093953168",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "muhammad.siddiqui@vcs.ikm.direct-ci.com",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Virginia Cancer Specialists, P.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "8613 Route 29 # 200N",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.