Yusuf Mohamed Siddiqui, MD FACS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

136544 Issued in NY

Practice address

2178 Main St
Buffalo, NY 14214-2634

Phone

(716) 838-8488

Fax

(716) 838-3022

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

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

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1376698936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142634",
            "telephone_number": "716-838-8488",
            "fax_number": "716-838-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142634",
            "telephone_number": "716-838-8488",
            "fax_number": "716-838-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "YUSUF",
        "middle_name": "MOHAMED",
        "name_prefix": "Mr.",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "136544",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "35630",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "136544",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "35630",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00746901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CB BLUE CROSS",
            "identifier": "000508766003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "0010165801",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris Dean Siddiq, LPN
• Attiya Munir Siddiqi, MD
• Majeed Siddiqui, M.D; FACRRM; D.C.N;
• Noor Naveed Siddiqui, MBBS
• Sharifuzzama Siddiqui, M.D.
• Marc Siebert, NP
• Adam Siedlecki
• Jessica Siegel, LMHC
• John Randall Siejak
• Neal Siejka, PA-C

• Surgery Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.