Marium Siddiqi

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

S4688 Issued in TX

Practice address

1651 W University Dr # 100
McKinney, TX 75069-3445

Phone

(972) 525-9900

Fax

(469) 333-7988

NPI assigned

Apr 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

VMD Primary Providers North Texas PLLCGroup PAC ID 2769896190, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Plano Hospital, Plano, TX, CCN 450651
• Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: marium.siddiqi.1@13711.direct.athenahealth.com

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.

• VMD Primary Providers North Texas, PLLC

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1295338358
  Medicare reassignment Care Compare group
• Usmd Diagnostic Services, LLC

  • Radiology Clinic/Center
  • Fort Worth, TX
  • NPI 1366977449
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of Plano Subsidiary LP

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation
• Texas Health Presbyterian Hospital Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1770514077
  Care Compare affiliation

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1457705196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360541",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516541",
            "telephone_number": "972-525-9900",
            "fax_number": "469-333-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 W UNIVERSITY DR # 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693445",
            "telephone_number": "972-525-9900",
            "fax_number": "469-333-7988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 W Interstate 20 Unit G22",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760175871",
            "country_code": "US",
            "telephone_number": "817-807-9060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "MARIUM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S4688",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marium.siddiqi.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "1651 W University Dr # 100",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750693445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darshana Shrestha, FNP-C
• Muzzammil Ahmed Shuja, DMD
• Bradley Shults, CNIM
• Sushmita Shurdeo
• Amanda Kaye Siamro, BA, RBT
• Maham Siddiqui
• Muhammad Shaharyar Siddiqui, M.D.
• Sadia Sajid Siddiqui, M.D.
• Courtney Sides
• Andrew Kent Siefers, LPC

• Family Medicine Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.

Verify at the official NPI Registry.