NPIMap

Organization Active NPI

VK Siddiqui MD PC

  • Psychiatry Physician
  • Eastpointe, MI
National Provider Identifier
1295805588
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VK SIDDIQUI MD PC
Practice address
18161 E 8 Mile Rd
Eastpointe, MI 48021-3219
Phone
(586) 772-7200
Fax
(586) 772-7207
NPI assigned
Nov 8, 2006
Last updated
Dec 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Vaqar Siddiqui, M.D.NPI 1285609008
Title
Physician/Owner
Phone
(586) 772-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

18161 E 8 Mile Rd
Eastpointe, MI 48021-3219

Mailing address

18161 E 8 Mile Rd
Eastpointe, MI 48021-3219
Phone (586) 772-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060417000689 MI Part B Supplier - Clinic/Group Practice 6901815109 Receives reassigned benefits from 4 practitioners
Practice locations: Eastpointe, MI

National Provider Directory

National Provider Directory
Tax ID family
Saadia Siddiqui2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1295805588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 E 8 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213219",
            "telephone_number": "586-772-7200",
            "fax_number": "586-772-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 E 8 MILE RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213219",
            "telephone_number": "586-772-7200",
            "fax_number": "586-772-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VK SIDDIQUI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "VAQAR",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "586-772-7200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.