NPIMap

Individual provider Active NPI

Muhammad Naveed Siddiqi, MD

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1427097146
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N6664 Issued in TX
Practice address
1001 College Ave
Suite a
Fort Worth, TX 76104-3000
Phone
(817) 336-6000
Fax
(817) 336-2072
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N6664 TX Primary

Addresses

Primary practice location

1001 College Ave
Suite a
Fort Worth, TX 76104-3000

Mailing address

1001 College Ave
Suite a
Fort Worth, TX 76104-3000
Phone (817) 336-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000368 TX Practitioner - Internal Medicine 6800873290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 College Ave
Suite a
Fort Worth, TX 76104-3000
Phone (817) 336-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N6664TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muhammad Naveed Siddiqi MD PA Internal Medicine CurrentSince Jun 15, 2011 Accepting new patients
Pulmonary Clinics of Southern Michigan Past Accepting new patients
Baylor All Saints Medical Center Past Accepting new patients

Locations

1001 College Ave
Ste A
Ft Worth, TX 76104
Phone (817) 336-1852

Interoperability endpoints

  • Direct secure messaging: msiddiqi@direct.uspi.com
  • Direct secure messaging: muhammadsiddiqi@daudashai.direct.emds.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1427097146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 COLLEGE AVE",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043000",
            "telephone_number": "817-336-6000",
            "fax_number": "817-336-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COLLEGE AVE",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043000",
            "telephone_number": "817-336-6000",
            "fax_number": "817-336-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "MUHAMMAD NAVEED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N6664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.