Individual provider Active NPI

Mohammed Siddiqui, M.D

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1255746632
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT207587 Issued in PA
Practice address
230 N Broad St
Philadelphia, PA 19102-1121
Phone
(215) 762-7000
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT207587 PA Primary

Addresses

Primary practice location

230 N Broad St
Philadelphia, PA 19102-1121

Mailing address

6100 City Ave
Apt 608
Philadelphia, PA 19131-1239
Phone (660) 353-0901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170721000308 MI Practitioner - Internal Medicine 5991075129 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
McLaren Lapeer RegionGroup PAC ID 8123000544, 36 clinicians

Practice addresses (Care Compare)

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-5000

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

1375 N Main St
Lapeer, MI 48446-1350
Phone (810) 667-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT207587PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince Jul 16, 2021 Accepting new patients
Hospitalist Medicine Physicians of Michigan, PLLC Internal Medicine Current Accepting new patients
McLaren Lapeer Region Current Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Dec 9, 2019 Accepting new patients
McLaren Lapeer Region Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
Grand Traverse Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
McLaren Lapeer Region CurrentSince Mar 1, 2019 Accepting new patients
McLaren Central Michigan CurrentSince Jul 16, 2021 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Dec 9, 2019 Accepting new patients
McLaren Hospital Group CurrentSince Nov 11, 2025 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Lapeer Region Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: msiddiqui1151294@direct.hfhs.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1255746632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 CITY AVE",
            "address_2": "APT 608",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311239",
            "telephone_number": "660-353-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-762-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT207587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.