Individual provider Active NPI

Asmat Qayoom Siddiqi

  • Endocrinology, Diabetes & Metabolism Physician
  • Killeen, TX
National Provider Identifier
1093967838
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
Q3596 Issued in TX
Practice address
3801 Scott and White Dr
Killeen, TX 76543-5252
Phone
(254) 680-1100
Fax
(254) 680-1132
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q3596 TX
Internal Medicine Physician 207R00000X 2011024426 MO
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Q3596 TX Primary

Addresses

Primary practice location

3801 Scott and White Dr
Killeen, TX 76543-5252

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address asiddiqi73045@direct.sw.org Direct
Direct Messaging Address asiddiqi73045@direct.sw.org Direct
Direct Messaging Address asiddiqi73045@direct.sw.org Direct

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
I20150515001783 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 7618149170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

10526 W Parmer LN BLDG
4 Baylor Scott and White Clinic Austi
Austin, TX 78717-4873
Phone (512) 310-4700

11209 S Interstate Hwy 35
Baylor Scott and White Clinic Onion
Austin, TX 78747-1712
Phone (512) 654-4700

11673 Jollyville Rd
Suite 205
Austin, TX 78759-4211
Phone (512) 568-3565

12436 Gregg Manor Rd
Manor, TX 78653-4138
Phone (512) 654-4400

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000

239 W Business
190 Baylor Scott and White Clinic Coppe
Copperas Cove, TX 76522-2912
Phone (254) 542-9000

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

2600 E Pflugerville Pkwy
BLDG 2
Pflugerville, TX 78660-5998
Phone (512) 654-6500

2608 Brockton Dr
Austin, TX 78758-4414
Phone (512) 654-4050

500 Canyon Ridge Dr
Suite 208
Austin, TX 78753-1632
Phone (512) 654-7800

6502 Lohmans Ford Rd
Lago Vista, TX 78645-5138
Phone (512) 267-3213

7451 W State Hwy 29
Baylor Scott and White Clinic Georg
Georgetown, TX 78628-6849
Phone (512) 509-8700

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

900 E Whitestone Blvd
Cedar Park, TX 78613-9093
Phone (512) 684-4911

910 E Whitestone Blvd
Baylor Scott and White Clinic Cedar
Cedar Park, TX 78613-9093
Phone (512) 260-6100

9800 N Lake Creek Pkwy
200 Baylor Scott and White Clinic Austi
Austin, TX 78717-5947
Phone (512) 336-3400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Internal Medicine CurrentSince Jun 29, 2015 Accepting new patients
Scott & White Clinic Internal Medicine Current Accepting new patients
Scott & White Clinic Internal Medicine CurrentSince Jun 29, 2015 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Apogee Medical Group Missouri Inc Internal Medicine Past Accepting new patients

Locations

500 Canyon Ridge Dr
Ste 208
Austin, TX 78753
Phone (512) 654-7800

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

910 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 260-6100

3801 Scott and White Dr
Killeen, TX 76543
Phone (254) 680-1100

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: asiddiqi73045@direct.sw.org

Organizations & group practices 5

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 5

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": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1093967838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SCOTT AND WHITE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435252",
            "telephone_number": "254-680-1100",
            "fax_number": "254-680-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "ASMAT",
        "middle_name": "QAYOOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q3596",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2011024426",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "Q3596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asiddiqi73045@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2201 S Clear Creek Rd",
            "city": "Killeen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765494110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asiddiqi73045@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2201 S Clear Creek Rd",
            "city": "Killeen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765494110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asiddiqi73045@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3801 Scott and White Dr",
            "city": "Killeen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765435252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.