Mohammad Siddique, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22371 Issued in AL

Practice address

1120 S Jackson Hwy
Suite 301-B
Sheffield, AL 35660-5777

Phone

(256) 320-5405

Fax

(256) 320-5407

NPI assigned

May 2, 2006

Last updated

Dec 17, 2008By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Shoals Medical Group, LLC

  • General Practice Physician
  • Sheffield, AL
  • NPI 1891930491
  Authorized official Same address or phone
• Hill Hospital of Sumter County

  dba Livingston Clinic

  • Clinic/Center
  • York, AL
  • NPI 1538594981
  NPD (past)
• Lister Healthcare Corporation

  dba Tri Cities Health and Wellness

  • Family Medicine Physician
  • Muscle Shoals, AL
  • NPI 1437981172
  NPD (past)
• North Alabama Emergency Physicians LLC

  • Emergency Medicine Physician
  • Sheffield, AL
  • NPI 1255378246
  NPD (past)
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  NPD (past)
• Singing River Healthcare, LLC

  • General Practice Physician
  • Florence, AL
  • NPI 1013330216
  NPD (past)
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1336107184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY",
            "address_2": "SUITE 301-B",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605777",
            "telephone_number": "256-320-5405",
            "fax_number": "256-320-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY",
            "address_2": "SUITE 301-B",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605777",
            "telephone_number": "256-320-5405",
            "fax_number": "256-320-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "22371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51538761",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940774",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoals Medical Trials, Inc.
• Shoals Pathology Services, LLC
• Shoals Primary Care, LLC
• Shoals Surgical Group LLC
• Shoals Urological Associates PC
• Heidi Leeanne Slappey, CRNP
• Melissa Gayle Sledge, LMT
• Mark Walker Smith, M.D.
• SNH Bama Tenant LLC (Morningside of Sheffield)
• Steven B Snyder, MD

• Internal Medicine Physician in Sheffield, AL
• Providers in Sheffield, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.