Active NPI
Yasmin Siddiqui, D.O.
- Adult Medicine Physician
- Coral Springs, FL
National Provider Identifier
1194041665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- OS21263
- Practice address
- 1480 N University Dr
Coral Springs, FL 33071-6040 - Phone
- (954) 840-0530
- Fax
- (954) 840-3570
- NPI assigned
- Apr 8, 2010
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | OS21263 | FL | Primary |
Addresses
Primary practice location
1480 N University Dr
Coral Springs, FL 33071-6040
Mailing address
1480 N University Dr
Coral Springs, FL 33071-6040
Phone (954) 840-0530
Other practice location 1
1001 Wynmoor Cir Ste 120
Coconut Creek, FL 33066-1407
Phone (954) 840-0530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1480 N University Dr
Coral Springs, FL 33071-6040
Phone (954) 840-0530
Hospital & facility affiliations
- All County Health Care, Inc
- Boca Raton Regional Hospital
- Holy Cross Hospital
- Broward Health Coral Springs
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.81 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS21263 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Southwest Medical Associates, Inc | Current | Accepting new patients | |
| Multispecialtyhealthcare LLC | Cardiovascular Disease | Current | Accepting new patients |
| Optum Medical Group Rhodes P C | Current | Accepting new patients |
Locations
1001 Wynmoor Cir
Ste 120
Coconut Creek, FL 33066
Phone (954) 840-0530
1480 N University Dr
Coral Springs, FL 33071
Phone (954) 753-1030
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330
888 S Rancho Dr
Las Vegas, NV 89106
Phone (702) 877-5375
Interoperability endpoints
- yasmin.siddiqui.1@24763.direct.athenahealth.com
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.
-
- Cardiovascular Disease Physician
- Coral Springs, FL
- NPI 1427591585
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1770556037
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lauderdale Lakes, FL
- NPI 1003935909
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
- General Acute Care Hospital
- Coral Springs, FL
- NPI 1174551147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1194041665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 N UNIVERSITY DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716040",
"telephone_number": "954-840-0530",
"fax_number": "954-840-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 N UNIVERSITY DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716040",
"telephone_number": "954-840-0530",
"fax_number": "954-840-3570"
}
],
"practiceLocations": [
{
"address_1": "1001 Wynmoor Cir Ste 120",
"address_purpose": "LOCATION",
"city": "Coconut Creek",
"state": "FL",
"postal_code": "330661407",
"country_code": "US",
"telephone_number": "954-840-0530",
"fax_number": "954-840-3570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "YASMIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "OS21263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.