Active NPI
Nazia Yasmin Sidiq, D.O.
- Family Medicine Physician
- Bowling Green, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.008687
- Practice address
- 1039 Haskins Rd
Suite a
Bowling Green, OH 43402-9065 - Phone
- (419) 352-1121
- Fax
- (419) 352-1179
- NPI assigned
- Jan 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.008687 | OH | Primary |
Addresses
Primary practice location
1039 Haskins Rd
Suite a
Bowling Green, OH 43402-9065
Mailing address
745 Haskins Rd
Suite B
Bowling Green, OH 43402-1637
Phone (419) 353-7069
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2621112 | Medicaid | OH | |
| DA5101 | Other | OH | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nazia.sidiq.p1@direct.whc.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
660 Beaver Creek Cir
Suite 110
Maumee, OH 43537-1746
Phone (419) 891-6210
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.008687 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Family Medicine | Current | Accepting new patients |
| Promedica Central Physicians | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
660 Beaver Creek Cir
Ste 110
Maumee, OH 43537
Phone (419) 891-6210
Organizations & group practices 3
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
- Toledo, OH
- NPI 1043270150
-
dba ProMedica Physicians Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1184602377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 HASKINS RD",
"address_2": "SUITE B",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434021637",
"telephone_number": "419-353-7069",
"fax_number": "419-353-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 HASKINS RD",
"address_2": "SUITE A",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434029065",
"telephone_number": "419-352-1121",
"fax_number": "419-352-1179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDIQ",
"first_name": "NAZIA",
"middle_name": "YASMIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.008687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2621112",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DA5101",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nazia.sidiq.p1@direct.whc.nextgenshare.com",
"affiliation": "N",
"address_1": "1039 Haskins Rd",
"address_2": "Suite A",
"city": "Bowling Green",
"state": "OH",
"country_code": "US",
"postal_code": "434029065",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.
- 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.