Individual provider Active NPI

Faysal Eqbal Siddiqui, MD; DPM

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1326454877
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
AM186658680O Issued in NY
Practice address
600 East 233 Street
Montefiore Medical Center
Bronx, NY 10466
Phone
(718) 920-9000
NPI assigned
Jul 5, 2014
Last updated
Mar 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X AM186658680O NY Primary

Addresses

Primary practice location

600 East 233 Street
Montefiore Medical Center
Bronx, NY 10466

Mailing address

600 E 233Rd St
Orthopedics Department
Bronx, NY 10466-2604
Phone (718) 920-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NJ, MA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170726000316 CT Practitioner - Podiatry 9436436854 Reassigns benefits to 1 organization
I20180209001839 NJ Practitioner - Podiatry 9436436854 Reassigns benefits to 1 organization
I20180905001622 MA Practitioner - Podiatry 9436436854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, shared by 9 NPIs, 105 clinicians

Practice addresses (Care Compare)

100 Crossing Blvd
Suite 300
Framingham, MA 01702-5401
Phone (617) 964-6681

101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681

103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235
Phone (888) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue9549
Removal or shaving of skin growth2786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AM186658680ONYMDPodiatrist
006860NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Jan 22, 2018 Accepting new patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Jun 19, 2017 Accepting new patients

Locations

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

888 Worcester St
Ste 130
Wellesley, MA 02482
Phone (857) 255-0293

103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514

Organizations & group practices 3

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": "1404518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1326454877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 233RD ST",
            "address_2": "ORTHOPEDICS DEPARTMENT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662604",
            "telephone_number": "718-920-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST 233 STREET",
            "address_2": "MONTEFIORE MEDICAL CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10466",
            "telephone_number": "718-920-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "FAYSAL",
        "middle_name": "EQBAL",
        "name_prefix": "Dr.",
        "credential": "MD; DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-05",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "AM186658680O",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.