Simin Siddiq, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A38666 Issued in CA

Practice address

2333 Mowry Ave
Suite 300
Fremont, CA 94538

Phone

(510) 796-0222

Fax

(510) 796-7760

NPI assigned

Jul 6, 2006

Last updated

Apr 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Internal MedicineAlso: Family Practice

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

California Cardiovascular ConsultantsGroup PAC ID 7810800083, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington Hospital Hospital, Fremont, CA, CCN 050195

Merit-based Incentive Payment System (MIPS)

Final score

64.37 of 100Reported as group

Quality

53.29

Promoting interoperability

0

Improvement activities

40

Cost

87.09

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ssiddiq13838@direct.whhs.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• California Cardiovascular Consultants

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1932202959
  Medicare reassignment Care Compare group NPD
• California Cardiovascular Consultants Medical Associates

  • Internal Medicine Physician
  • Newark, CA
  • NPI 1538358122
  NPD
• Hemant D Patel Inc

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1245563030
  NPD (past)
• Washington Township Hospital Development Corporation

  dba Washington Urgent Care

  • Urgent Care Clinic/Center
  • Fremont, CA
  • NPI 1427089754
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Washington Township Hospital District

  dba Washington Hospital

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685
  Care Compare affiliation

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1255362422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MOWRY AVE",
            "address_2": "SUITE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-796-0222",
            "fax_number": "510-796-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MOWRY AVE",
            "address_2": "SUITE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-796-0222",
            "fax_number": "510-796-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQ",
        "first_name": "SIMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A38666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A38666",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unknown Shweta Kumari
• Yuan Si, LAC
• Sial M.D., Inc.
• Mehgan Sichel
• Seir Siddiq
• Mohamed Ajaz Siddiqui, O.D.
• Amanjot Kaur Sidhu, M.D.
• Ratna N Sie, D.D.S.
• Faye Morin Siegler, NP,CNM
• Sierra Neurodiagnostic Group LLC

• Internal Medicine Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.

Verify at the official NPI Registry.