Individual provider Active NPI

Muhammad Ali Siddiqui, M.D.

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1437125481
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R8828 Issued in TX
Practice address
4405 Adriel LN
Plano, TX 75074-0335
Phone
(870) 718-8384
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301502858 MI
Family Medicine Physician 207Q00000X 61863 TN
Family Medicine Physician 207Q00000X E4343 AR
Family Medicine Physician 207Q00000X 87073 GA
Family Medicine Physician 207Q00000X 01084709A IN
Family Medicine Physician 207Q00000X R8828 TX Primary

Addresses

Primary practice location

4405 Adriel LN
Plano, TX 75074-0335

Mailing address

4405 Adriel LN
Plano, TX 75074-0335
Phone (870) 718-8384

Other practice location 1

1143 S Buckner Blvd Ste 133
Dallas, TX 75217-4304
Phone (214) 398-4690

Other identifiers 1

IdentifierTypeStateIssuer
157681001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190131001882 TX Practitioner - Family Practice 6406898956 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nobility Medical PLLCGroup PAC ID 6002196300, 22 clinicians

Practice addresses (Care Compare)

8000 Eldorado Pkwy
BLDG C
McKinney, TX 75070-1655
Phone (469) 678-7198

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4343ARMDFamily Medicine Physician
87073GAMDFamily Medicine Physician
01084709AINMDFamily Medicine Physician
4301502858MIMDFamily Medicine Physician
61863TNMDFamily Medicine Physician
R8828TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heal 360 Urgent Care, LLC Family Medicine CurrentSince Jun 25, 2019 Accepting new patients
Care Express LLC Family Medicine Current Accepting new patients
Nobility Medical PLLC Family Medicine CurrentSince Feb 27, 2024 Accepting new patients
Vital Physician House Calls LLC Family Medicine CurrentSince May 19, 2020 Accepting new patients
Laser Surgical Solutions, RGV LLC Family Medicine Past Accepting new patients
Dr Q Pain & Spine Clinic, PA Past Accepting new patients
East Texas Out-Patient PLLC Family Medicine PastSince Apr 21, 2019 Accepting new patients

Locations

1306 13th St
Bridgeport, TX 76426
Phone (940) 255-6552

1903 Doctors Hospital Dr
Ste 34
Bridgeport, TX 76426
Phone (940) 627-6201

1060 S Preston Rd
Ste 104
Celina, TX 75009
Phone (972) 382-4466

8700 US Highway 380
Ste 200
Cross Roads, TX 76227
Phone (940) 365-9400

1143 S Buckner Blvd
Ste 133
Dallas, TX 75217
Phone (214) 398-4690

4228 N Central Expy
Ste 104
Dallas, TX 75206
Phone (214) 520-1006

801 N Grand Ave
Gainesville, TX 76240
Phone (940) 612-8750

8000 Eldorado Pkwy
Bldg C
McKinney, TX 75070
Phone (469) 678-7198

8000 Eldorado Pkwy
Ste B
McKinney, TX 75070
Phone (469) 425-8884

1360 Star Ct
Ste T1
Plano, TX 75074
Phone (972) 200-7402

4674 McDermott Rd
Ste 308
Plano, TX 75024
Phone (469) 607-1900

5068 W Plano Pkwy
Ste 295C
Plano, TX 75093
Phone (972) 666-0786

1061 N Coleman St
Ste 10
Prosper, TX 75078
Phone (940) 365-9400

275 W Campbell Rd
Ste 325D
Richardson, TX 75080
Phone (972) 666-0786

2806 W FM 544
Wylie, TX 75098

3400 W FM 544
Ste 650B
Wylie, TX 75098
Phone (972) 301-7596

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIJJCD/Endpoint/FIJJCD
  • Direct secure messaging: muhammad.siddiqui.1@22976.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1437125481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 ADRIEL LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750740335",
            "telephone_number": "870-718-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 ADRIEL LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750740335",
            "telephone_number": "870-718-8384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1143 S Buckner Blvd Ste 133",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752174304",
            "country_code": "US",
            "telephone_number": "214-398-4690",
            "fax_number": "214-398-4395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MUHAMMAD",
        "middle_name": "ALI",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301502858",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "61863",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E4343",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "87073",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01084709A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R8828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157681001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.