Individual provider Active NPI

Farhan Siddiqui, M.D.

  • Pulmonary Disease Physician
  • Spartanburg, SC
National Provider Identifier
1447461579
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
33422 Issued in SC
Practice address
151 Harold Fleming CT
Spartanburg, SC 29303-4225
Phone
(864) 573-6320
Fax
(864) 208-0352
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 33422 SC Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 33422 SC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2012-01820 NC
Pulmonary Disease Physician 207RP1001X 2012-01820 NC

Addresses

Primary practice location

151 Harold Fleming CT
Spartanburg, SC 29303-4225

Mailing address

151 Harold Fleming CT
Spartanburg, SC 29303-4225
Phone (864) 573-6320

Other identifiers 3

IdentifierTypeStateIssuer
GP3212MedicaidSC
334221MedicaidSC
5922149MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20110823000379 SC Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 5991880163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Lung and Critical Care Specialists PCGroup PAC ID 7719946185, 11 clinicians

Practice addresses (Care Compare)

151 Harold Fleming CT
Spartanburg, SC 29303-4225
Phone (864) 573-6320

Hospital & facility affiliations

  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Cherokee Medical Center Hospital, Gaffney, SC, CCN 420043
  • Union Medical Center Hospital, Union, SC, CCN 420108
  • Pelham Medical Center Hospital, Greer, SC, CCN 420103

Merit-based Incentive Payment System (MIPS)

Final score
94.2 of 100Reported as individual
Quality
86.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012-01820NCMDCritical Care Medicine (Internal Medicine) Physician
33422SCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Sep 28, 2015 Accepting new patients
Spartanburg Medical Center CurrentSince Sep 28, 2015 Accepting new patients
Upstate Lung and Critical Care Specialists, PC Pulmonary Disease CurrentSince Jul 18, 2011 Accepting new patients
Upstate Lung and Critical Care Specialists PC Pulmonary Disease CurrentSince Jul 18, 2011 Accepting new patients
Upstate Lung and Critical Care Specialists PC Pulmonary Disease CurrentSince Jul 18, 2011 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Charles a Thompson MD Pulmonary & Sleep Pulmonary Disease PastSince Jul 31, 2023 Accepting new patients

Locations

1529 N Limestone St
Gaffney, SC 29340
Phone (864) 487-9931

133 N Howard Ave
Landrum, SC 29356
Phone (864) 457-3838

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

151 Harold Fleming Ct
Spartanburg, SC 29303
Phone 8645736320219

Interoperability endpoints

  • Direct secure messaging: farhan.siddiqui.1@16459.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16459/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 8

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1447461579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 HAROLD FLEMING CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034225",
            "telephone_number": "864-573-6320",
            "fax_number": "864-208-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 HAROLD FLEMING CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034225",
            "telephone_number": "864-573-6320",
            "fax_number": "864-208-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "FARHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "33422",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "33422",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2012-01820",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2012-01820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3212",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334221",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5922149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.