NPIMap

Individual provider Active NPI

Meraj Siddiqui, MD

  • Interventional Pain Medicine Physician
  • Batesville, AR
National Provider Identifier
1114973922
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
E4737 Issued in AR
Practice address
1700 Harrison St Ste T
Batesville, AR 72501-7315
Phone
(870) 262-6155
Fax
(870) 262-6512
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X R5039 TX
Interventional Pain Medicine Physician 208VP0014X E4737 AR Primary
Anesthesiology Physician 207L00000X R5039 TX
Anesthesiology Physician 207L00000X E4737 AR

Addresses

Primary practice location

1700 Harrison St Ste T
Batesville, AR 72501-7315

Mailing address

125 Dennison HTS
Batesville, AR 72501-8936
Phone (870) 834-4499

Other practice location 1

511 Oakwood Blvd Ste 200
Round Rock, TX 78681-4068
Phone (866) 767-7231

Other practice location 2

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-6155

Other identifiers 1

IdentifierTypeStateIssuer
5N520OtherARBLUE CROSS OF AR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060606000161 AR Practitioner - Pain ManagementPractitioner - Anesthesiology 4789608266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Treatment Centers of America PLLCGroup PAC ID 2769608819, 73 clinicians

Practice addresses (Care Compare)

108 N Shackeford Rd
Little Rock, AR 72211-2840

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Batesville, AR, CCN 047080
  • White River Medical Center Hospital, Batesville, AR, CCN 040119
  • Stone County Medical Center Hospital, Mountain View, AR, CCN 041310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4737ARMDAnesthesiology Physician
R5039TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. Single Specialty CurrentSince Dec 11, 2009 Accepting new patients
Pain Treatment Centers of America PLLC Single Specialty CurrentSince Apr 1, 2014 Accepting new patients
Greenville Ambulatory Surgery Center, LLC Current Accepting new patients
Pain Treatment Centers of America, PLLC Single Specialty CurrentSince Jul 1, 2014 Accepting new patients
Jonesboro Ambulatory Surgery Center, LLC PastSince Jul 5, 2018 Accepting new patients
Institute of Interventional Pain Management PA Single Specialty Past Accepting new patients
Fort Smith Ambulatory Surgery Center, LLC PastSince Jan 1, 2023 Accepting new patients
St. Vincent Infirmary Medical Center Single Specialty Past Accepting new patients
Massard Ambulatory Surgery Center, LLC PastSince Dec 1, 2023 Accepting new patients
Ozarks Medical Center Single Specialty Past Accepting new patients

Locations

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

1700 Harrison St
Ste T
Batesville, AR 72501
Phone (870) 262-3280

108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

511 Oakwood Blvd
Ste 200
Round Rock, TX 78681
Phone (512) 246-2262

Interoperability endpoints

  • Direct secure messaging: meraj.siddiqui@4330.securemail.prognocis.com

Organizations & group practices 10

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1114973922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DENNISON HTS",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725018936",
            "telephone_number": "870-834-4499",
            "fax_number": "870-262-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HARRISON ST STE T",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017315",
            "telephone_number": "870-262-6155",
            "fax_number": "870-262-6512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Oakwood Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786814068",
            "country_code": "US",
            "telephone_number": "866-767-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Sidney St",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "72501",
            "country_code": "US",
            "telephone_number": "870-262-6155",
            "fax_number": "870-262-6187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MERAJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "R5039",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AR",
            "license": "E4737",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R5039",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E4737",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AR",
            "identifier": "5N520",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.