Individual provider Active NPI

Tahrin Siddiqua, MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1285893123
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N2805 Issued in TX
Practice address
11240 FM 1960 Rd W
Suite 210
Houston, TX 77065-3662
Phone
(281) 469-7400
NPI assigned
Jun 5, 2008
Last updated
Aug 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N2805 TX Primary

Addresses

Primary practice location

11240 FM 1960 Rd W
Suite 210
Houston, TX 77065-3662

Mailing address

12322 Bluff Haven LN
Cypress, TX 77433-3792
Phone (806) 928-4986

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
I20111025000056 TX Practitioner - Pediatric Medicine 6305019084 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Dallas Healthcare Enterprises PastSince Sep 1, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tahrin.siddiqua@npfm.eclinicaldirectplus.com
  • Direct secure messaging: tsiddiqua20019@memorialhermann.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1285893123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12322 BLUFF HAVEN LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333792",
            "telephone_number": "806-928-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 FM 1960 RD W",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653662",
            "telephone_number": "281-469-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUA",
        "first_name": "TAHRIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N2805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.