Active NPI
Usman Siddiqui, MD
- Neurology Physician
- Lawrenceburg, IN
National Provider Identifier
1114927712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01038155A
- Practice address
- 606 Wilson Creek Rd
Ste. 210
Lawrenceburg, IN 47025-1095 - Phone
- (812) 537-7011
- Fax
- (812) 537-7021
- NPI assigned
- Jul 26, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01038155A | IN | Primary |
Addresses
Primary practice location
606 Wilson Creek Rd
Ste. 210
Lawrenceburg, IN 47025-1095
Mailing address
606 Wilson Creek Rd
Ste. 210
Lawrenceburg, IN 47025-1095
Phone (812) 537-7011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100319400 | Medicaid | IN | |
| 0937400 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100211000270 | OH | Practitioner - Neurology | 2264441591 | |
| I20100510000324 | IN | Practitioner - Neurology | 2264441591 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01038155A | IN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| William L Shoemaker D O a Medical Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1295882116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1114927712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 WILSON CREEK RD",
"address_2": "STE. 210",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "470251095",
"telephone_number": "812-537-7011",
"fax_number": "812-537-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 WILSON CREEK RD",
"address_2": "STE. 210",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "470251095",
"telephone_number": "812-537-7011",
"fax_number": "812-537-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "USMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01038155A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100319400",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0937400",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.