Noor Maqsood Siddiqui, M.D.
Individual provider Active NPI Family Medicine Physician · Hagerstown, MD
NPI 1104098540 · NPPES record last updated Oct 4, 2012
Key facts
- NPI
- 1104098540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0072433 (MD)
- Practice address
- 324 E Antietam St
Suite 305
Hagerstown, MD 21740-5754 - Phone
- (301) 791-2510
- Fax
- (301) 739-7798
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Meritus Medical Center Inc
Allegeny Medical LLC
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
324 E Antietam St
Suite 200
Hagerstown, MD 21740-5792
Phone (301) 791-2510
Hospital & facility affiliations
- Home Call
- Meritus Medical Center, Inc
- Berkeley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111209000599 | MD | Practitioner - Family Practice | 8729253349 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0072433 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegeny Medical LLC | Family Medicine | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Meritus Medical Laboratory LLC | Past | Accepting new patients |
Locations
324 E Antietam St
Ste 200
Hagerstown, MD 21740
Phone (301) 791-2510
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
324 E Antietam St
Ste 305
Hagerstown, MD 21740
Phone (301) 791-2510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0072433 | MD | Yes |
Addresses
Primary practice location
324 E Antietam St
Suite 305
Hagerstown, MD 21740-5754
Mailing address
324 E Antietam St
Suite 305
Hagerstown, MD 21740-5754
Phone (301) 791-2510
Other providers in Hagerstown, MD
- Julie Shupp
- Michelle Shupp
- Rachel Shusterman-Zimmerman
- Mysore Shyam
- Megan Leanne Sichler
- Shahab Z Siddiqui
- Sightrite Medical MD LLC
- Howard W Sill
- Tania Silva
- Ashley Marie Simmons
All providers in Hagerstown, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.