Individual provider Active NPI

Muhammad Sohail Siddiq, M.D.

  • Gastroenterology Physician
  • Atoka, TN
National Provider Identifier
1124113832
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34939 Issued in TN
Practice address
340 Atoka McLaughlin Dr
Suite C
Atoka, TN 38004-4824
Phone
(901) 840-1083
Fax
(901) 837-0183
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35C.000525 OH
Gastroenterology Physician 207RG0100X 34939 TN Primary

Addresses

Primary practice location

340 Atoka McLaughlin Dr
Suite C
Atoka, TN 38004-4824

Mailing address

340 Atoka McLaughlin Dr
Suite C
Atoka, TN 38004-4824
Phone (901) 840-1083

Other practice location 1

10600 Montgomery Rd Ste 300
Montgomery, OH 45242-4464
Phone (513) 794-5600

Other identifiers 1

IdentifierTypeStateIssuer
3865547MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, TX, GA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20071119000202 TN Practitioner - GastroenterologyPractitioner - Internal Medicine 5890883375 Reassigns benefits to 2 organizations
I20080312000453 MS Practitioner - GastroenterologyPractitioner - Internal Medicine 5890883375
I20201203002131 TX Practitioner - Gastroenterology 5890883375
I20250116002651 GA Practitioner - Gastroenterology 5890883375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Medical Center IncGroup PAC ID 1052764677, 58 clinicians
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 433-1000

6215 Humphreys Blvd
Suite 201
Memphis, TN 38120-2382
Phone (901) 866-8085

877 Jefferson Ave
Memphis, TN 38103-2897

880 Madison Ave
Memphis, TN 38103-3409
Phone (901) 545-6969

890 Madison Ave
Memphis, TN 38103-3409
Phone (901) 545-8999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Upper gastrointestinal (GI) endoscopy for acid reflux30

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Georgia Medical Center Inc CurrentSince Dec 1, 2024 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Jan 5, 2015 Accepting new patients
Ut Medical Group, Inc. CurrentSince Jan 2, 2022 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Jan 5, 2015 Accepting new patients
Ut Medical Group Inc CurrentSince Jan 2, 2022 Accepting new patients
McAllen Hospitalist Group, PLLC CurrentSince Dec 7, 2020 Accepting new patients
South Georgia Medical Center Inc CurrentSince Dec 1, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

1325 Eastmoreland Ave
Ste 510
Memphis, TN 38104
Phone (901) 516-7055

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

Interoperability endpoints

  • Direct secure messaging: msiddiq30969@mlh.direct-ci.com

Organizations & group practices 8

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1124113832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ATOKA MCLAUGHLIN DR",
            "address_2": "SUITE C",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380044824",
            "telephone_number": "901-840-1083",
            "fax_number": "901-837-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ATOKA MCLAUGHLIN DR",
            "address_2": "SUITE C",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380044824",
            "telephone_number": "901-840-1083",
            "fax_number": "901-837-0183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10600 Montgomery Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "OH",
            "postal_code": "452424464",
            "country_code": "US",
            "telephone_number": "513-794-5600",
            "fax_number": "513-281-1908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQ",
        "first_name": "MUHAMMAD",
        "middle_name": "SOHAIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35C.000525",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "34939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3865547",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atoka, TN

Sources for this page

Verify at the official NPI Registry.