Active NPI
NW Cypress Pediatric and Family Medicine, PLLC
- Pediatrics Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 72805
- Legal business name
- NW CYPRESS PEDIATRIC AND FAMILY MEDICINE, PLLC
- Practice address
- 11240 FM 1960 Rd W
Suite 210
Houston, TX 77065-3662 - Phone
- (281) 469-7400
- Fax
- (281) 469-7403
- NPI assigned
- May 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tahrin Siddiqua, MD
- Title
- Owner/Physician
- Phone
- (281) 469-7400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 208000000X | 72805 | TX | Primary |
Addresses
Primary practice location
11240 FM 1960 Rd W
Suite 210
Houston, TX 77065-3662
Mailing address
11240 FM 1960 Rd W
Suite 210
Houston, TX 77065-3662
Phone (281) 469-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2030097 | NW Cypress Pediatrics and Family Medicine | Certificate of waiver | Sep 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
11853 Barker Cypress Rd
Ste 100
Cypress, TX 77433
Phone (281) 469-7400
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Houston, TX
- NPI 1285893123
-
- Family Medicine Physician
- Cypress, TX
- NPI 1104076017
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1992213276
-
- Pediatrics Physician
- Richmond, TX
- NPI 1063855922
-
- Pediatrics Physician
- Houston, TX
- NPI 1831405166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327536000000",
"number": "1386936292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11240 FM 1960 RD W",
"address_2": "SUITE 210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653662",
"telephone_number": "281-469-7400",
"fax_number": "281-469-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11240 FM 1960 RD W",
"address_2": "SUITE 210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653662",
"telephone_number": "281-469-7400",
"fax_number": "281-469-7403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NW CYPRESS PEDIATRIC AND FAMILY MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-11",
"last_updated": "2012-01-26",
"status": "A",
"authorized_official_last_name": "SIDDIQUA",
"authorized_official_first_name": "TAHRIN",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "281-469-7400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "72805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.