Active NPI
Syyeda Afreen Siddiqui, M.D.
- Internal Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125.061463
- Practice address
- 5301 E Grant Rd
Tucson, AZ 85712-2874 - Phone
- (520) 327-5461
- NPI assigned
- Jul 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.061463 | IL | Primary |
Addresses
Primary practice location
5301 E Grant Rd
Tucson, AZ 85712-2874
Mailing address
7383 E Tanque Verde Rd
Tucson, AZ 85715-3475
Phone (520) 318-3434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114282225 | Medicaid | IL |
Other names 1
- Dr. Syyeda Afreen Ali
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, IL
- 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
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone (520) 543-6100
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657
7383 E Tanque Verde Rd
Tucson, AZ 85715-3475
Phone (520) 318-3434
Hospital & facility affiliations
- Tucson Medical Center
- Northwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.061463 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KSB Medical Group, Inc. | Current | Accepting new patients | |
| App of Southern Arizona HM LLC | Hospitalist | Current | Accepting new patients |
| KSB Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Northwest HBP Medical Services LLC | Hospitalist | Current | Accepting new patients |
| Arizona Inpatient Medicine Associates LLC | Internal Medicine | Current | Accepting new patients |
Locations
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
7383 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 318-3434
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477
403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629
215 E 1st St
Ste 117
Dixon, IL 61021
Phone (815) 285-5900
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.
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1083647754
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
Hospitalist
-
- Hospitalist Physician
- Brentwood, TN
- NPI 1518542679
-
- Clinic/Center
- Dixon, IL
- NPI 1629046115
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1114282225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7383 E TANQUE VERDE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153475",
"telephone_number": "520-318-3434",
"fax_number": "520-318-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122874",
"telephone_number": "520-327-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "SYYEDA",
"middle_name": "AFREEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-05",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.061463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114282225",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SYYEDA",
"last_name": "ALI",
"middle_name": "AFREEN",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.