Active NPI
Kashif Ahmed Siddiqui, MD
- Emergency Medicine Physician
- Pearland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- P2788
- Practice address
- 11601 Shadow Creek Pkwy
Suite # 111-139
Pearland, TX 77584-7283 - Phone
- (832) 462-9574
- Fax
- (281) 786-3939
- NPI assigned
- Aug 10, 2010
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27031 | OK | |
| Family Medicine Physician | 207Q00000X | P2788 | TX | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | P2788 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10034162 | TX | |
| Emergency Medicine Physician | 207P00000X | P2788 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 27031 | OK |
Addresses
Primary practice location
11601 Shadow Creek Pkwy
Suite # 111-139
Pearland, TX 77584-7283
Mailing address
2405 Barton Shore Dr
Pearland, TX 77584-3952
Phone (832) 462-9574
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3129 Kingsley Dr
Suite 340
Pearland, TX 77584-8506
Phone (346) 800-5148
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TK Emergency Physicians Group PLLC | Emergency Medicine | Current | Accepting new patients |
| ZN Healthcare Services, PLLC | Family Medicine | Current | Accepting new patients |
| Texas ER Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Optimum Ambulatory Health PLLC | Current | Accepting new patients | |
| Medical Center Emergency Physicians PA | Emergency Medicine | Past | Accepting new patients |
| Southwest Medical Associates, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
14120 FM 2100 Rd
Crosby, TX 77532
Phone (281) 328-7770
2409 Falcon Pass Dr
Ste 100
Houston, TX 77062
Phone (281) 461-1111
1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423
137 N Lhs Dr
Ste 755
Lumberton, TX 77657
Phone (832) 219-3833
220 Blanco St
Ste 2
Lumberton, TX 77657
Phone (409) 755-2273
11233 Shadow Creek Pkwy
Ste 313
Pearland, TX 77584
Phone (346) 352-5100
3129 Kingsley Dr
Ste 340
Pearland, TX 77584
Phone (346) 209-0885
22678 Highway 59
Porter, TX 77365
Phone (281) 354-4654
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Pearland, TX
- NPI 1821604000
-
- Internal Medicine Physician
- Houston, TX
- NPI 1174199707
-
- Emergency Medicine Physician
- Lumberton, TX
- NPI 1235829359
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1942728019
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1639154230
-
- Emergency Medicine Physician
- Electra, TX
- NPI 1831299122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1154636561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 BARTON SHORE DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775843952",
"telephone_number": "832-462-9574",
"fax_number": "281-786-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 SHADOW CREEK PKWY",
"address_2": "SUITE # 111-139",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847283",
"telephone_number": "832-462-9574",
"fax_number": "281-786-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "KASHIF",
"middle_name": "AHMED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "27031",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P2788",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TX",
"license": "P2788",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10034162",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "P2788",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OK",
"license": "27031",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.