NPIMap

Individual provider Active NPI

Neha Siddiqui, MD

  • Nephrology Physician
  • Tulsa, OK
National Provider Identifier
1285242487
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
45179 Issued in OK
Practice address
6465 S Yale Ave Ste 507
Tulsa, OK 74136-7807
Phone
(918) 712-5000
NPI assigned
Jul 14, 2020
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Nephrology Physician 207RN0300X 45179 OK Primary

Addresses

Primary practice location

6465 S Yale Ave Ste 507
Tulsa, OK 74136-7807

Mailing address

7675 Phoenix Dr Apt 703
Houston, TX 77030-4712
Phone (773) 837-7543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250721004276 OK Practitioner - Nephrology 1153837794 Reassigns benefits to 2 organizations
I20250916004326 TX Practitioner - Nephrology 1153837794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tni-Kso PCGroup PAC ID 2062464399, 20 clinicians

Practice addresses (Care Compare)

6465 S Yale Ave
Suite 507
Tulsa, OK 74136-7807
Phone 9187125000152

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45179OKMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tni-Kso PC Nephrology CurrentSince Jun 1, 2025 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Aug 22, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Aug 22, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Aug 22, 2025 Accepting new patients

Locations

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

1145 S Utica Ave
Ste 364
Tulsa, OK 74104
Phone (918) 496-5195

6465 S Yale Ave
Ste 507
Tulsa, OK 74136
Phone (918) 481-2760

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: nsiddiqui1358036@ahs.direct-ci.com
  • Direct secure messaging: nsiddiqui46596@direct.davitaphysiciansolutions.com

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1285242487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 PHOENIX DR APT 703",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304712",
            "telephone_number": "773-837-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE STE 507",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367807",
            "telephone_number": "918-712-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "NEHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "45179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.