Individual provider Active NPI

Aamir Jalil Siddiqi, M.D.

  • Neurology Physician
  • San Antonio, TX
National Provider Identifier
1275503575
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M0919 Issued in TX
Practice address
1310 McCullough Ave
San Antonio, TX 78212-5601
Phone
(210) 575-6168
Fax
(210) 510-7490
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X M0919 TX
Neurology Physician 2084N0400X M0919 TX Primary

Addresses

Primary practice location

1310 McCullough Ave
San Antonio, TX 78212-5601

Mailing address

4410 Medical Dr Ste 410
San Antonio, TX 78229-3749
Phone (210) 575-6168

Other identifiers 1

IdentifierTypeStateIssuer
746896OtherMEDICARE PIN

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
I20050613001203 TX Practitioner - Neurology 5597709303 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0919TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC Neurology CurrentSince Feb 18, 2017 Accepting new patients
Premier Pain Consultants, PLLC CurrentSince Sep 1, 2015 Accepting new patients
Premier Pain Consultants, PLLC CurrentSince Sep 1, 2015 Accepting new patients
Carepoint Inpatient Blue Sky Neurology - Texas, PLLC Neurology CurrentSince Mar 1, 2021 Accepting new patients

Locations

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

2425 Babcock Rd
San Antonio, TX 78229
Phone (210) 616-9400

2425 Babcock Rd
Ste 108
San Antonio, TX 78229
Phone (210) 298-9004

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

Organizations & group practices 4

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1275503575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR STE 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293749",
            "telephone_number": "210-575-6168",
            "fax_number": "210-510-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125601",
            "telephone_number": "210-575-6168",
            "fax_number": "210-510-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "AAMIR",
        "middle_name": "JALIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "M0919",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M0919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "746896",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.