Individual provider Active NPI

Afaaq Hyder Siddiqui, M.D

  • Family Medicine Physician
  • Northville, MI
National Provider Identifier
1215203237
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301100953 Issued in MI
Practice address
40000 8 Mile Rd
Northville, MI 48167-2134
Phone
(248) 380-6200
Fax
(248) 380-6251
NPI assigned
Mar 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301100953 MI Primary

Addresses

Primary practice location

40000 8 Mile Rd
Northville, MI 48167-2134

Mailing address

29383 Glen Oaks Blvd E
Farmington Hills, MI 48334-2930
Phone (630) 544-4112

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asiddiqui417489@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20151102001564 MI Practitioner - Family Practice 1557681749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

1 Ford PL
Suite 1F
Detroit, MI 48202-3450
Phone (313) 874-6677

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince Jul 1, 2016 Accepting new patients
Henr Y Ford Health System Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Henry Ford Health System Current Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 1F
Detroit, MI 48202
Phone (313) 874-4907

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

40000 8 Mile Rd
Northville, MI 48167
Phone (248) 380-6200

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.

Hospital & facility affiliations 1

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": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1215203237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29383 GLEN OAKS BLVD E",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342930",
            "telephone_number": "630-544-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40000 8 MILE RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672134",
            "telephone_number": "248-380-6200",
            "fax_number": "248-380-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "AFAAQ",
        "middle_name": "HYDER",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-23",
        "last_updated": "2021-04-21",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301100953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asiddiqui417489@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "40000 8 Mile Rd",
            "city": "Northville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481672134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.