Individual provider Active NPI

Javedan Siddiqui, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Hampton, VA
National Provider Identifier
1417342205
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
1025299 Issued in MA
Practice address
4000 Coliseum Dr Ste 320
Hampton, VA 23666-5983
Phone
(757) 827-2350
NPI assigned
Mar 30, 2015
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DR.0062530 CO
Sleep Medicine (Internal Medicine) Physician 207RS0012X 0101277112 VA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 1025299 MA Primary

Addresses

Primary practice location

4000 Coliseum Dr Ste 320
Hampton, VA 23666-5983

Mailing address

4000 Coliseum Dr Ste 320
Hampton, VA 23666-5983

Other practice location 1

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-4013

Other practice location 2

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

Other practice location 3

221 Longwood Ave
Boston, MA 02115-5804
Phone (617) 732-4013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MA2 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

Enrollment IDStateProvider typePAC IDDetails
I20240920002753 VA Practitioner - Sleep MedicinePractitioner - Pediatric Medicine 5092256768 Reassigns benefits to 1 organization
I20260408000969 MA Practitioner - Sleep MedicinePractitioner - Internal Medicine 5092256768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Pediatric Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

100 Sentara Cir
Williamsburg, VA 23188-5713

100 Sentara Circle
SMG Division of Hospital Medicine William
Wiliamsburg, VA 23188-5713
Phone (757) 984-7217

1060 1St Colonial Rd
Virginia BCH, VA 23454-3002
Phone (757) 395-2323

1975 Glenn Mitchell Dr
Virginia Beach, VA 23456-0167

2790 Godwin Blvd
Suite 235
Suffolk, VA 23434-8038
Phone (757) 934-4580

2800 Godwin Blvd
Suffolk, VA 23434-8038

3000 Coliseum Dr
Hampton, VA 23666-5963

3920 A Bridge Rd
Suffolk, VA 23435-1107

4000 Coliseum Dr
Hampton, VA 23666-5983

600 Gresham Dr
Norfolk, VA 23507-1904

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

800 Independence Blvd
Virginia Beach, VA 23455-6011
Phone (757) 252-9048

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1025299MAMDSleep Medicine (Internal Medicine) Physician
DR.0062530COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Single Specialty CurrentSince Jul 1, 2024 Accepting new patients

Locations

4000 Coliseum Dr
Ste 320
Hampton, VA 23666
Phone (757) 827-2350

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1417342205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR STE 320",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR STE 320",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665983",
            "telephone_number": "757-827-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "617-732-4013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1153 Centre St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021303446",
            "country_code": "US",
            "telephone_number": "617-983-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155804",
            "country_code": "US",
            "telephone_number": "617-732-4013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "JAVEDAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0062530",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101277112",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MA",
            "license": "1025299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.