Individual provider Active NPI

Sadaf Waseem Siddiqui, PA-C

  • Physician Assistant
  • Richmond, TX
National Provider Identifier
1114529120
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14012 Issued in TX
Practice address
22830 Spellbrook Bend LN
Richmond, TX 77407-6395
Phone
(281) 768-9326
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14012 TX Primary

Addresses

Primary practice location

22830 Spellbrook Bend LN
Richmond, TX 77407-6395

Mailing address

22830 Spellbrook Bend LN
Richmond, TX 77407-6395
Phone (281) 768-9326

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205003772 TX Practitioner - Physician Assistant 8426407255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aqeel Hashmi MD PAGroup PAC ID 0244452969, 5 clinicians

Practice addresses (Care Compare)

6902 S Peek Rd
Westpark Spring Hospital
Richmond, TX 77407-1741
Phone (832) 390-0900

7103 S Peek Rd
Suite 100
Richmond, TX 77407-3499
Phone (832) 390-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1114529120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22830 SPELLBROOK BEND LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774076395",
            "telephone_number": "281-768-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22830 SPELLBROOK BEND LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774076395",
            "telephone_number": "281-768-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SADAF",
        "middle_name": "WASEEM",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.