Individual provider Active NPI

Saquib Siddiqi, DO

  • Cardiovascular Disease Physician
  • Lewisburg, PA
National Provider Identifier
1174948236
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS020514 Issued in PA
Practice address
3 Hospital Dr Ste 100
Lewisburg, PA 17837-9394
Phone
(570) 524-5056
Fax
(570) 524-5061
NPI assigned
Feb 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS020514 PA
Cardiovascular Disease Physician 207RC0000X OS020514 PA Primary

Addresses

Primary practice location

3 Hospital Dr Ste 100
Lewisburg, PA 17837-9394

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

457 River Ave
Williamsport, PA 17701-3722
Phone (570) 524-5056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200728002787 PA Practitioner - Cardiovascular Disease (Cardiology) 1759686207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 334-2121

210 JPM Rd
Lewisburg, PA 17837-9367
Phone (570) 522-4299

25 Monument Rd
York, PA 17403-5073

3 Hospital Dr
Lewisburg, PA 17837-9362
Phone (570) 524-5056

3 Hospital Dr
Lewisburg, PA 17837-9394

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evangelical Medical Services Organization CurrentSince Jul 22, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Evangelical Medical Services Organization CurrentSince Jul 22, 2020 Accepting new patients
Evangelical Medical Services Organization Internal Medicine Current Accepting new patients
Wellspan Medical Group Current Accepting new patients

Locations

3 Hospital Dr
Ste 100
Lewisburg, PA 17837
Phone (570) 523-7625

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

457 River Ave
Williamsport, PA 17701
Phone (570) 323-7246

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: ssiddiqi482310@wellspan.direct-ci.com

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.

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1174948236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL DR STE 100",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379394",
            "telephone_number": "570-524-5056",
            "fax_number": "570-524-5061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "457 River Ave",
            "address_purpose": "LOCATION",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013722",
            "country_code": "US",
            "telephone_number": "570-524-5056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "SAQUIB",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS020514",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS020514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.