Individual provider Active NPI

Haroon W Siddique, M.D.

  • Psychiatry Physician
  • Decatur, TX
National Provider Identifier
1457461519
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M6397 Issued in TX
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

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8BP530OtherTXBCBS
191149703MedicaidTX
191149702MedicaidTX

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
I20080201000505 TX Practitioner - Psychiatry 0244208262 Reassigns benefits to 1 organization

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
Haroon Siddique, MD, PAGroup PAC ID 5092874057, 6 clinicians

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 Home health agency, Decatur, TX, CCN 457786
  • Medical City Denton Hospital, Denton, TX, CCN 450634
  • JPS Health Network Hospital, Fort Worth, TX, CCN 450039
  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103

Merit-based Incentive Payment System (MIPS)

Final score
94.55 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
52.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6397TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Haroon Siddique, MD, PA Psychiatry CurrentSince Jul 1, 2008 Accepting new patients
Alliance Behavioral Health Services, LLC Past Accepting new patients
Cumberland River Behavioral Health, Inc PastSince Jan 16, 1997 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

  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.