Active NPI
Haroon W Siddique, M.D.
- Psychiatry Physician
- Decatur, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M6397
- Practice address
- 902 Preskitt Rd Ste 200
Decatur, TX 76234-4101 - Phone
- (940) 626-1848
- Fax
- (940) 626-1047
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M6397 | TX | Primary |
Addresses
Primary practice location
902 Preskitt Rd Ste 200
Decatur, TX 76234-4101
Mailing address
1816 S FM 51
Suite 400, #130
Decatur, TX 76234-3784
Phone (940) 626-1848
Other practice location 1
3412 N Tarrant Pkwy Ste 520
Fort Worth, TX 76177-8643
Phone (940) 626-1848
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8BP530 | Other | TX | BCBS |
| 191149703 | Medicaid | TX | |
| 191149702 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2000 S FM
Suite 51
Decatur, TX 76234-3702
Phone (940) 626-1848
3100 Alliance Town Ctr
Fort Worth, TX 76177-7614
Phone (940) 626-1848
3412 N Tarrant Pkwy
Suite 520
Fort Worth, TX 76177-8643
Phone (940) 626-1848
8488 N Riverside Dr
Suite 150
Fort Worth, TX 76244-9703
Phone (940) 626-1848
902 Preskitt Rd
Suite 200
Decatur, TX 76234-4121
Phone (940) 626-1848
Hospital & facility affiliations
- Angels Care Home Health
- Medical City Denton
- JPS Health Network
- Medical City Alliance
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.55 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 52.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6397 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haroon Siddique, MD, PA | Psychiatry | Current | Accepting new patients |
| Alliance Behavioral Health Services, LLC | Past | Accepting new patients | |
| Cumberland River Behavioral Health, Inc | Past | Accepting new patients | |
| Columbia Medical Center of Denton Subsidiary LP | Past | Accepting new patients |
Locations
902 Preskitt Rd
Ste 200
Decatur, TX 76234
Phone (940) 626-0145
1816 S FM 51
Ste 400
Decatur, TX 76234
902 Preskitt Rd
Decatur, TX 76234
2000 S FM 51
Decatur, TX 76234
Phone (940) 626-1848
3412 N Tarrant Pkwy
Ste 520
Fort Worth, TX 76177
Phone (940) 626-1848
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CGCIBA
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Decatur, TX
- NPI 1467614768
-
- Psychiatric Hospital
- Fort Worth, TX
- NPI 1316775935
-
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
-
- Community/Behavioral Health Agency
- Corbin, KY
- NPI 1902023526
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
-
- Home Health Agency
- Decatur, TX
- NPI 1700864121
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871911016
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1457461519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 S FM 51",
"address_2": "SUITE 400, #130",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343784",
"telephone_number": "940-626-1848",
"fax_number": "940-626-1849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 PRESKITT RD STE 200",
"city": "DECATUR",
"state": "TX",
"postal_code": "762344101",
"telephone_number": "940-626-1848",
"fax_number": "940-626-1047"
}
],
"practiceLocations": [
{
"address_1": "3412 N Tarrant Pkwy Ste 520",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761778643",
"country_code": "US",
"telephone_number": "940-626-1848",
"fax_number": "940-626-1849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDDIQUE",
"first_name": "HAROON",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2022-06-07",
"certification_date": "2022-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M6397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8BP530",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191149703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191149702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.