Active NPI
Shahzad Khan Siddique, M.D.
- Nephrology Physician
- Opelika, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 41548
- Practice address
- 121 N 20TH St Ste 20a
Opelika, AL 36801-5456 - Phone
- (334) 749-6523
- Fax
- (334) 742-0242
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 41548 | AL | Primary |
Addresses
Primary practice location
121 N 20TH St Ste 20a
Opelika, AL 36801-5456
Mailing address
121 N 20TH St Ste 20a
Opelika, AL 36801-5456
Phone (334) 749-6523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 N 20TH St
Suite 20a
Opelika, AL 36801-5456
Phone (334) 749-6523
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41548 | AL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hypertension & Nephrology | Internal Medicine | Current | Accepting new patients |
Locations
3368 Highway 280
Ste G1
Alexander City, AL 35010
Phone (256) 329-0638
211 E University Dr
Auburn, AL 36832
Phone (334) 501-8890
52 Water Works Rd
Dadeville, AL 36853
Phone (256) 825-2740
802 Hospital St
Lafayette, AL 36862
Phone (334) 864-9914
121 N 20th St
Ste 20A
Opelika, AL 36801
Phone (334) 749-1268
2609 Village Professional Dr N
Ste 3
Opelika, AL 36801
4459 Highway 431
Roanoke, AL 36274
Phone (334) 863-8365
314 W Spring St
Sylacauga, AL 35150
Phone (256) 249-9660
802 E Martin Luther King Hwy
Tuskegee, AL 36083
Phone (334) 727-9447
8 Medical Park
Valley, AL 36854
Phone (334) 756-4192
Interoperability endpoints
- ssiddique65512@direct.acumenmd.com
- sksiddique@direct.uabmedicine.org
- https://api.platform.athenahealth.com/25334/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Valley, AL
- NPI 1023120862
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Auburn, AL
- NPI 1881706620
Dialysis facility
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1225229362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N 20TH ST STE 20A",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368015456",
"telephone_number": "334-749-6523",
"fax_number": "334-742-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N 20TH ST STE 20A",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368015456",
"telephone_number": "334-749-6523",
"fax_number": "334-742-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUE",
"first_name": "SHAHZAD",
"middle_name": "KHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AL",
"license": "41548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.