Asim Siddiqi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

281047 Issued in NY

Practice address

301 Prospect Ave
Syracuse, NY 13203-1807

Phone

(315) 448-5111

NPI assigned

May 10, 2012

Last updated

Jan 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Crouse Health Hospital IncGroup PAC ID 9739173774, 155 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Hospital Hospital, Paramus, NJ, CCN 310012
• St Joseph's Hospital Health Center Hospital, Syracuse, NY, CCN 330140
• Crouse Hospital Hospital, Syracuse, NY, CCN 330203
• Dellridge Health & Rehabilitation Center Nursing home, Paramus, NJ, CCN 315129
• Oakland Rehabilitation and Healthcare Center Nursing home, Oakland, NJ, CCN 315171

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asiddiqi2389105@direct.trinity-health.org
• Direct secure messaging: asim.siddiqi.1@5622.direct.athenahealth.com

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.

• Crouse Health Hospital Inc

  • Hospitalist Physician
  • Syracuse, NY
  • NPI 1841340205
  Medicare reassignment Care Compare group NPD
• St Josephs Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1942501747
  Medicare reassignment Care Compare group NPD
• Asim Siddiqi MD LLC

  • Clinic/Center
  • Paramus, NJ
  • NPI 1770463705
  Medicare reassignment NPD Authorized official
• Valley Physician Services PC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1467815928
  Medicare reassignment Care Compare group NPD
• St. Joseph's Physician Health, P.C.

  • Anesthesiology Physician
  • Troy, NY
  • NPI 1154376770

  Family Medicine

  Medicare reassignment NPD
• The Frederick Ferris Thompson Hospital

  • General Acute Care Hospital
  • Canandaigua, NY
  • NPI 1194776351
  Medicare reassignment NPD
• MPV New Jersey MD Services PC

  • General Practice Physician
  • Westwood, NJ
  • NPI 1215391271
  Medicare reassignment NPD
• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  NPD
• North Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1972563070
  NPD
• Pathology Associates of Syracuse, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Syracuse, NY
  • NPI 1629061791
  NPD
• The Frederick Ferris Thompson Hospital

  dba UR Medicine Thompson Health Victor Medical Group Pharmacy

  • Community/Retail Pharmacy
  • Victor, NY
  • NPI 1831914274
  NPD
• MPV New Jersey MD Services PC

  • Durable Medical Equipment & Medical Supplies
  • Bloomfield, NJ
  • NPI 1801542816

  Family Medicine

  NPD

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

• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  Care Compare affiliation
• St Josephs Hospital Health Center

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1508815333
  Care Compare affiliation
• Dellridge Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Paramus, NJ
  • NPI 1013003854

  Nursing home

  Care Compare affiliation
• Oakland Operator LLC

  dba Oakland Rehabilitation and Healthcare Center

  • Skilled Nursing Facility
  • Oakland, NJ
  • NPI 1033500251

  Nursing home

  Care Compare affiliation
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1396004438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "ASIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "281047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura W Shults, MS CCC-SLP
• Alan Shum, M.D.
• Marie Shutts, LPN
• Amanda Sibbitts, NP
• Jessica Ellen Sicherman, PSYD
• Ayat Siddiqui
• Nicole Siddon, PA-C
• Rachel Sidebotham, LCSW
• Amitoj Singh Sidhu, MBBS
• Eric F Sidman, PHARM.D.

• Family Medicine Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.
• 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.

Verify at the official NPI Registry.