Khizer M Siddiqi, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

00017547 Issued in AL

Practice address

150 Park Circle Drive
Flowood, MS 39232

Phone

(205) 981-2152

NPI assigned

Sep 20, 2005

Last updated

Jun 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AL

  Medicare reassignment NPD
• Marion Regional Medical Center, Inc.

  dba Marion Regional Medical Center

  • General Acute Care Hospital
  • Hamilton, AL
  • NPI 1932160082
  Medicare reassignment NPD
• Marion Regional Medical Center, Inc

  dba Hamilton Hospitalist

  • Multi-Specialty Clinic/Center
  • Hamilton, AL
  • NPI 1992546758
  NPD
• Roanoke Healthcare Authority

  dba Randolph Medical Center

  • Critical Access Hospital
  • Roanoke, AL
  • NPI 1275591992
  NPD
• The Health Care Authority of Elba Alabama

  dba Elba General Hospital

  • Rural Acute Care Hospital
  • Elba, AL
  • NPI 1114904968
  NPD
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Opp, AL
  • NPI 1356391353
  NPD (past)
• Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
  • NPI 1851323836
  NPD (past)
• Geneva Emergency Physicians LLC

  • Emergency Medicine Physician
  • Opp, AL
  • NPI 1326081498
  NPD (past)
• Hale County Hospital

  dba Moundville Medical Associates

  • Rural Health Clinic/Center
  • Moundville, AL
  • NPI 1376901686
  NPD (past)
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  NPD (past)
• Jacksonville Emergency Physicians LLC

  • Emergency Medicine Physician
  • Jacksonville, AL
  • NPI 1023253762
  NPD (past)
• Noah Tucker Inpatient Services

  • Hospitalist Physician
  • Elba, AL
  • NPI 1871850297

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1386639904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PARK CIRCLE DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "205-981-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PARK CIRCLE DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "205-981-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "KHIZER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00017547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051520970",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5678710",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051520970",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051529063",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peyton Conn Shell
• Breanna Shenk, NP
• Shephearst Meadows, LLC
• Shields Orofacial Pain and Dental Sleep (MS Pain and Sleep)
• Wesley Shields, DMD
• Kevin Sijansky, M.D.
• Jill P Silvey, CRNA
• Kenneth Roy Simmons
• Nicole Simonson, LPC, NCC
• Shane Michael Sims, M.D.

• Emergency Medicine Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.

Verify at the official NPI Registry.