Individual provider Active NPI

Usman Siddiqui, M.D.

  • Hospitalist Physician
  • Nyack, NY
National Provider Identifier
1356774491
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
294940 Issued in NY
Practice address
311 N Midland Ave Ste 2
Nyack, NY 10960-1638
Phone
(845) 358-5006
Fax
(845) 358-4340
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 294940-1 NY
Hospitalist Physician 208M00000X 294940 NY Primary

Addresses

Primary practice location

311 N Midland Ave Ste 2
Nyack, NY 10960-1638

Mailing address

55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 787-1000

Other practice location 1

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

Other practice location 2

55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 787-1000

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address uss9005@direct.nyp.org Direct
FHIR URL https://epicproxy-pup.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181213000425 NY Practitioner - Internal Medicine 2769727106 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians
Lawrence Medical Associates PCGroup PAC ID 1759439631, 226 clinicians

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

311 N Midland Ave
Suite 2
Nyack, NY 10960-1638
Phone (845) 358-5006

311 N Midlandave
Suite 2
Nyack, NY 10960-1638

55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 787-1000

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

  • Montefiore Nyack Hospital Home Health Agency Home health agency, New City, NY, CCN 337168
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104
  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
294940-1NYMDInternal Medicine Physician

Practice roles (9 of 13)

OrganizationSpecialtyStatusNew patients
Usman Siddiqui MD Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince Dec 17, 2018 Accepting new patients
Lawrence Medical Associates, PC Internal Medicine Current Accepting new patients
Boris Melnikau Medical PC Internal Medicine CurrentSince Mar 12, 2024 Accepting new patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince Dec 17, 2018 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Jun 22, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Apr 7, 2022 Accepting new patients
Samaritan Hospital of Troy, New York Internal Medicine CurrentSince Dec 17, 2018 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Current Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

311 N Midland Ave
Ste 2
Nyack, NY 10960
Phone (845) 358-5006

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: uss9005@direct.nyp.org

Organizations & group practices 9

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1356774491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PALMER AVE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083403",
            "telephone_number": "914-787-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N MIDLAND AVE STE 2",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601638",
            "telephone_number": "845-358-5006",
            "fax_number": "845-358-4340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Palmer Ave",
            "address_purpose": "LOCATION",
            "city": "Bronxville",
            "state": "NY",
            "postal_code": "107083403",
            "country_code": "US",
            "telephone_number": "914-787-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "USMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2024-03-04",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "294940-1",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "294940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uss9005@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "55 Palmer Ave",
            "city": "Bronxville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107083403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pup.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "55 Palmer Ave",
            "city": "Bronxville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107083403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "55 Palmer Ave",
            "city": "Bronxville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107083403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.