Individual provider Active NPI

Fazila Siddiqi, M.D.

  • Psychiatry Physician
  • Toledo, OH
National Provider Identifier
1245363803
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K3467 Issued in TX
Practice address
3909 Woodley Rd
Toledo, OH 43606-1169
Phone
(419) 725-3330
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X K3467 TX Primary

Addresses

Primary practice location

3909 Woodley Rd
Toledo, OH 43606-1169

Mailing address

3909 Woodley Rd
Toledo, OH 43606-1169

Other practice location 1

2550 N Esplanade St
Cuero, TX 77954-4736
Phone (361) 275-6191

Other practice location 2

2300 W White Ave
101
McKinney, TX 75071-3102
Phone (214) 491-1618

Other identifiers 1

IdentifierTypeStateIssuer
0304347-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040426000313 TX Practitioner - Psychiatry 4385630102 Reassigns benefits to 3 organizations
I20170908001431 OH Practitioner - Psychiatry 4385630102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dewitt Medical DistrictGroup PAC ID 3072421395, shared by 21 NPIs, 32 clinicians
HarborGroup PAC ID 8325931181, 58 clinicians

Practice addresses (Care Compare)

1109 E Broadway St
Cuero, TX 77954-2108
Phone 36127561912474

3909 Woodley Rd
Toledo, OH 43606-1169
Phone (419) 475-4449

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3467TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dewitt Medical District CurrentSince Jun 1, 2019 Accepting new patients
Harbor Psychiatry CurrentSince Mar 13, 2023 Accepting new patients
Access Telecare, PLLC Psychiatry CurrentSince Apr 3, 2025 Accepting new patients
Dewitt Medical District CurrentSince Jun 1, 2019 Accepting new patients
Adena Medical Group LLC Psychiatry CurrentSince Jul 24, 2017 Accepting new patients
Community for New Direction CurrentSince Apr 30, 2023 Accepting new patients
Dewitt Medical District Current Accepting new patients
Adapt of Texas, Inc. Past Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

1000 Atcheson St
Columbus, OH 43203
Phone (614) 252-4941

993 E Main St
Columbus, OH 43205
Phone (614) 252-4941

123 22nd St
Toledo, OH 43604
Phone (419) 241-6191

3909 Woodley Rd
Toledo, OH 43606
Phone (419) 725-3330

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1109 E Broadway St
Cuero, TX 77954
Phone (361) 275-2800

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

113 W Main St
Kenedy, TX 78119
Phone (830) 583-0612

2300 W White Ave
Ste 101
McKinney, TX 75071
Phone (214) 491-1618

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cndcolumbus/r4/

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1245363803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 WOODLEY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 WOODLEY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061169",
            "telephone_number": "419-725-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 N Esplanade St",
            "address_purpose": "LOCATION",
            "city": "Cuero",
            "state": "TX",
            "postal_code": "779544736",
            "country_code": "US",
            "telephone_number": "361-275-6191",
            "fax_number": "361-275-3999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 W White Ave",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750713102",
            "country_code": "US",
            "telephone_number": "214-491-1618",
            "fax_number": "214-544-3847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "FAZILA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K3467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0304347-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.