Individual provider Active NPI

Muhammad Talal Siddique, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1265736367
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P7035 Issued in TX
Practice address
6100 Harris Pkwy
Fort Worth, TX 76132-4101
Phone
(817) 250-4906
Fax
(817) 250-4815
NPI assigned
Jan 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P7035 TX Primary

Addresses

Primary practice location

6100 Harris Pkwy
Fort Worth, TX 76132-4101

Mailing address

6100 Harris Pkwy
Fort Worth, TX 76132-4101
Phone (817) 250-4906

Other identifiers 1

IdentifierTypeStateIssuer
327760003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20131105000914 TX Practitioner - Family PracticePractitioner - Other (Physician) 9436384195 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Questcare Hospitalists PLLCGroup PAC ID 5799785119, 266 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

713 E Anderson St
Medical City Weatherford
Weatherford, TX 76086-5705
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7035TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Hospital Medicine Associates of TX PA Family Medicine CurrentSince May 1, 2017 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Jan 27, 2020 Accepting new patients
Questcare Hospitalists PLLC CurrentSince Jul 1, 2018 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Oct 15, 2018 Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Mar 1, 2014 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 27, 2020 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 16, 2013 Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2014 Accepting new patients
Concord Medical Group PLLC CurrentSince Aug 16, 2013 Accepting new patients
Weatherford Health Services, LLC Past Accepting new patients

Locations (25 of 31)

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

5900 Altamesa Blvd
Ft Worth, TX 76132
Phone (817) 433-9100

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065

708 S 1st St
Muleshoe, TX 79347
Phone (806) 272-4524

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

Interoperability endpoints

  • Direct secure messaging: msiddique516468@direct.sw.org
  • Direct secure messaging: msiddique436589@direct.texashealth.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 5

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": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1265736367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324101",
            "telephone_number": "817-250-4906",
            "fax_number": "817-250-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324101",
            "telephone_number": "817-250-4906",
            "fax_number": "817-250-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "MUHAMMAD",
        "middle_name": "TALAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327760003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.