NPIMap

Individual provider Active NPI

Saadia Vaqar Siddiqui, M.D.

  • Internal Medicine Physician
  • Eastpointe, MI
National Provider Identifier
1164409496
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301075014 Issued in MI
Practice address
18161 E 8 Mile Rd
Eastpointe, MI 48021-3219
Phone
(586) 772-7200
Fax
(586) 772-7207
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301075014 MI Primary

Addresses

Primary practice location

18161 E 8 Mile Rd
Eastpointe, MI 48021-3219

Mailing address

18161 E 8 Mile Rd
Eastpointe, MI 48021-3219
Phone (586) 772-7200

Other identifiers 3

IdentifierTypeStateIssuer
05828314OtherECFMG
4573540MedicaidMI
53150011798OtherCONTROLLED SUBSTANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040306000194 MI Practitioner - Internal Medicine 0941198410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18161 E 8 Mile Rd
Eastpointe, MI 48021-3219
Phone (586) 772-7200

Hospital & facility affiliations

  • Infinity Home Health Services Home health agency, Southfield, MI, CCN 239130
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301075014MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VK Siddiqui MD PC CurrentSince Jan 1, 2008 Accepting new patients
Saadia Siddiqui MD PC Internal Medicine CurrentSince May 31, 2012 Accepting new patients
Family Practice Care PLLC Past Accepting new patients
Family Practice Care PLLC Past Accepting new patients

Locations

7733 E Jefferson Ave
Detroit, MI 48214
Phone (313) 499-3000

18161 E 8 Mile Rd
Eastpointe, MI 48021
Phone (586) 498-7100

Interoperability endpoints

  • Direct secure messaging: ssiddiqui1151302@direct.hfhs.org

Organizations & group practices 4

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 6

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164409496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 E 8 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213219",
            "telephone_number": "586-772-7200",
            "fax_number": "586-772-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 E 8 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213219",
            "telephone_number": "586-772-7200",
            "fax_number": "586-772-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SAADIA",
        "middle_name": "VAQAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "05828314",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4573540",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "53150011798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

Verify at the official NPI Registry.