Individual provider Active NPI

Tasneem Siddiqua, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1154634020
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01079021A Issued in IN
Practice address
6002 E 38TH St
Indianapolis, IN 46226-5614
Phone
(317) 880-6002
Fax
(317) 880-0417
NPI assigned
Jul 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 01079021A IN Primary
Internal Medicine Physician 207R00000X 125058089 IL

Addresses

Primary practice location

6002 E 38TH St
Indianapolis, IN 46226-5614

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939

Other practice location 1

856 W Nelson St
Apartment # 605
Chicago, IL 60657-9202
Phone (701) 412-8903

Other practice location 2

1800 N Capitol Ave # 140
Indianapolis, IN 46202
Phone (317) 962-8776

Other practice location 3

856 W Nelson St
Apartment # 605
Chicago, IL 60657-9202
Phone (701) 412-8903

Other identifiers 1

IdentifierTypeStateIssuer
300005364MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address TSIDDIQUA@direct.iuhealth.org
Direct Messaging Address tsiddiqua151717@direct.eskenazihealth.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170829000726 IN Practitioner - Internal Medicine 8921314337 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLC 4,382 clinicians
The Health and Hospital Corporation of Marion County 239 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

9443 E 38TH St
Indianapolis, IN 46235-2132
Phone (317) 890-2100

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Indiana University Health North Hospital Hospital, Carmel, IN, CCN 150161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125058089ILMDInternal Medicine Physician
01079021AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Health and Hospital Corporation of Marion County Single Specialty CurrentSince Jan 21, 2025 Accepting new patients
University Family Physicians, Inc. Single Specialty CurrentSince Sep 1, 2017 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Jan 21, 2025 Accepting new patients
Iu Health Medical Group, LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
University Family Physicians, Inc. CurrentSince Sep 1, 2017 Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

550 University Blvd
#1501
Indianapolis, IN 46202
Phone (317) 948-1310

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1800 N Capitol Ave
#140
Indianapolis, IN 46202
Phone (317) 962-2894

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

6002 E 38th St
Indianapolis, IN 46226
Phone (317) 880-0280

Interoperability endpoints

  • Direct secure messaging: tsiddiqua151717@direct.eskenazihealth.edu
  • Direct secure messaging: tsiddiqua@direct.iuhealth.org

Organizations & group practices 5

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 2

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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1154634020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637764",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637764",
            "telephone_number": "317-880-3939",
            "fax_number": "317-880-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 E 38TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462265614",
            "telephone_number": "317-880-6002",
            "fax_number": "317-880-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "856 W Nelson St",
            "address_2": "Apartment # 605",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606579202",
            "country_code": "US",
            "telephone_number": "701-412-8903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 N Capitol Ave # 140",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46202",
            "country_code": "US",
            "telephone_number": "317-962-8776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "856 W Nelson St",
            "address_2": "Apartment # 605",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606579202",
            "country_code": "US",
            "telephone_number": "701-412-8903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUA",
        "first_name": "TASNEEM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01079021A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125058089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300005364",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TSIDDIQUA@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1800 N Capitol Ave # 140",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsiddiqua151717@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "6002 E 38th St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462265614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.