Active NPI
Hadi Faheem Siddique, MD
- Psychiatry Physician
- Saint Louis, MO
National Provider Identifier
1255073573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2025-03605
- Practice address
- 10018 Kennerly Rd
Saint Louis, MO 63128-2106 - Phone
- (314) 251-6663
- NPI assigned
- Apr 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2025-03605 | NC | Primary |
| Psychiatry Physician | 2084P0800X | 2026031069 | MO |
Addresses
Primary practice location
10018 Kennerly Rd
Saint Louis, MO 63128-2106
Mailing address
10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 251-6663
Other practice location 1
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6663
Other practice location 2
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 934-7554
Other practice location 3
1400 US Highway 61
Crystal Cty, MO 63028-4108
Phone (314) 251-6663
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hsiddique1550482@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220622002885 | NC | Order and Referring Only - Psychiatry | 5193104123 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1255073573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10018 KENNERLY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282106",
"telephone_number": "314-251-6663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10018 KENNERLY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282106",
"telephone_number": "314-251-6663"
}
],
"practiceLocations": [
{
"address_1": "615 S New Ballas Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418221",
"country_code": "US",
"telephone_number": "314-251-6663",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "509 N Brightleaf Blvd",
"address_purpose": "LOCATION",
"city": "Smithfield",
"state": "NC",
"postal_code": "275774407",
"country_code": "US",
"telephone_number": "919-934-7554",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 US Highway 61",
"address_purpose": "LOCATION",
"city": "Crystal Cty",
"state": "MO",
"postal_code": "630284108",
"country_code": "US",
"telephone_number": "314-251-6663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDDIQUE",
"first_name": "HADI",
"middle_name": "FAHEEM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-07",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2025-03605",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2026031069",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hsiddique1550482@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "509 N Brightleaf Blvd",
"city": "Smithfield",
"state": "NC",
"country_code": "US",
"postal_code": "275774407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.