Active NPI
Maqsood Ahmed Siddique, MD
- Cardiovascular Disease Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME 61681
- Practice address
- 13000 Bruce B Downs Blvd
James a Haley VA Medical Center
Tampa, FL 33612-4745 - Phone
- (813) 972-7618
- NPI assigned
- Mar 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | LT22164 | ND | |
| Cardiovascular Disease Physician | 207RC0000X | ME 61681 | FL | Primary |
Addresses
Primary practice location
13000 Bruce B Downs Blvd
James a Haley VA Medical Center
Tampa, FL 33612-4745
Mailing address
19012 Saint Laurent Dr
Lutz, FL 33558-2809
Phone (813) 949-1613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 61681 | FL | MD | Cardiovascular Disease Physician |
| LT22164 | ND | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Past | Accepting new patients |
Locations
13330 Usf Laurel Dr
Tampa, FL 33612
Phone (813) 396-9478
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
2 Tampa General Cir
Fl 2
Tampa, FL 33606
Phone (813) 209-8596
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- msiddique252773@direct.tgh.org
Organizations & group practices 7
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
- Rural Health Clinic/Center
- Forman, ND
- NPI 1073520003
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1346201084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19012 SAINT LAURENT DR",
"city": "LUTZ",
"state": "FL",
"postal_code": "335582809",
"telephone_number": "813-949-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13000 BRUCE B DOWNS BLVD",
"address_2": "JAMES A HALEY VA MEDICAL CENTER",
"city": "TAMPA",
"state": "FL",
"postal_code": "336124745",
"telephone_number": "813-972-7618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUE",
"first_name": "MAQSOOD",
"middle_name": "AHMED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2025-02-13",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "ND",
"license": "LT22164",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME 61681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.