Individual provider Active NPI

Shahzad Khan Siddique, M.D.

  • Nephrology Physician
  • Opelika, AL
National Provider Identifier
1225229362
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
41548 Issued in AL
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

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107000511 AL Practitioner - Internal MedicinePractitioner - Nephrology 9234202433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hypertension and NephrologyGroup PAC ID 3971529793, 9 clinicians

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

LicenseStateTypeSpecialty
41548ALMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hypertension & Nephrology Internal Medicine CurrentSince Sep 19, 2024 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

  • Direct secure messaging: ssiddique65512@direct.acumenmd.com
  • Direct secure messaging: sksiddique@direct.uabmedicine.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.