Mohamed S Siddique, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MS044111 Issued in MI

Practice address

27207 Lahser Rd
Ste 200B
Southfield, MI 48034-8407

Phone

(248) 354-4709

Fax

(248) 354-4807

NPI assigned

May 13, 2006

Sex

Male

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 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

Specialty

Internal Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024
• McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msiddique63505@direct.hfhs.org
• Direct secure messaging: msiddiqu@direct.dmc.org

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.

• Pulsar Medical Associates PC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1689031932
  Medicare reassignment NPD Authorized official
• Simed PC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1982264354
  Medicare reassignment NPD
• Unified Academic Physicians PC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1689537102
  Medicare reassignment NPD
• Macomb Internists PC

  • Hospitalist Physician
  • Macomb, MI
  • NPI 1730130063

  Internal Medicine

  NPD (past) Authorized official
• Pulsar Medical Group PC

  • Infectious Disease Physician
  • Marine City, MI
  • NPI 1295813129

  Internal Medicine

  NPD (past) Authorized official
• VHS Sinai-Grace Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1760794044
  NPD (past)

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

• McLaren Lapeer Region

  • General Acute Care Hospital
  • Lapeer, MI
  • NPI 1205824737
  Care Compare affiliation
• VHS Sinai-Grace Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1760794044
  Care Compare affiliation

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1285685446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17177 N LAUREL PARK DR",
            "address_2": "STE 439",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523938",
            "telephone_number": "248-354-4709",
            "fax_number": "248-354-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27207 LAHSER RD",
            "address_2": "STE 200B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348407",
            "telephone_number": "248-354-4709",
            "fax_number": "248-354-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "MOHAMED",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "MS044111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104722864",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Shuttie, M.D.
• Nezylle Sia
• Marites Sibug-Franklin
• Jeffrey P Sickles, RN CRNA
• Shad Siddiqi, DO
• Firdous Anjum Siddiqui, MD
• Mukarram Mohammed Siddiqui, MD
• Sana Siddiqui, PT
• Zaki H Siddiqui
• Siebert Psychotherapy Services

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.