Adeel Siddiqui

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1074012 Issued in TX

Practice address

201 Amanda LN Ste 300
Waxahachie, TX 75165-1393

Phone

(469) 638-6050

NPI assigned

Jan 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJJIAA

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.

• Tarrant Neurology Consultants, P.a.

  • Neurology Physician
  • Fort Worth, TX
  • NPI 1740509843
  Medicare reassignment NPD
• Vinit Mehrotra, MD, PA

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1861504136
  NPD (past)

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1124779616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 AMANDA LN STE 300",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AMANDA LN STE 300",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651393",
            "telephone_number": "469-638-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "ADEEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015267",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1074012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee N Sheafer, LPC
• Ivy Lea Shelmadine, PT, DPT
• Michelle Angelina Shelton, PA-C
• Christopher John Shorrock, AG-ACNP
• Shirley J Shropshire, LMFT
• Michelle Reynolds Simmons
• Simply Well DPC
• Amanda Sims, CI
• Anjelyca Johnson Sims, RN
• Shannon W. Sims, MD

• Family Nurse Practitioner in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.

Verify at the official NPI Registry.