Active NPI
Adnan Siddiqui, MD
- Cardiovascular Disease Physician
- Conroe, TX
National Provider Identifier
1336320506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- N3309
- Practice address
- 601 River Pointe Dr
Conroe, TX 77304-2945 - Phone
- (936) 539-5577
- NPI assigned
- Nov 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD429213 | PA | |
| Interventional Cardiology Physician | 207RI0011X | N3309 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | N3309 | TX | Primary |
Addresses
Primary practice location
601 River Pointe Dr
Conroe, TX 77304-2945
Mailing address
601 River Pointe Dr
Suite 105
Conroe, TX 77304-2945
Phone (936) 441-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206615101 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 River Pointe Dr
Suite 105
Conroe, TX 77304-2943
Phone (936) 539-5577
Hospital & facility affiliations
- HCA Houston Healthcare Conroe
- Huntsville Memorial Hospital
- Houston Methodist the Woodlands Hospital
- Memorial Hermann Hospital System
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.8 of 100
- Quality
- 73.59
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 41 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD429213 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arif Abdullah MD PA | Cardiovascular Disease | Current | Accepting new patients |
| Texas Cardiology Associates of Greater Houston PA | Interventional Cardiology | Current | Accepting new patients |
| Memorial Hospital of Polk County | Past | Accepting new patients |
Locations
601 River Pointe Dr
Ste 105
Conroe, TX 77304
Phone (936) 441-5550
Interoperability endpoints
- hmhasiddi@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Conroe, TX
- NPI 1477631406
-
- Interventional Cardiology Physician
- Conroe, TX
- NPI 1871907493
-
- Rural Acute Care Hospital
- Livingston, TX
- NPI 1689650616
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
-
- General Acute Care Hospital
- Huntsville, TX
- NPI 1245878990
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1336320506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 RIVER POINTE DR",
"address_2": "SUITE 105",
"city": "CONROE",
"state": "TX",
"postal_code": "773042945",
"telephone_number": "936-441-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 RIVER POINTE DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773042945",
"telephone_number": "936-539-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "ADNAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-16",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD429213",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "N3309",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "N3309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206615101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.