Mina Siddiqui

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD474371 Issued in PA

Practice address

100 St Lukes LN
Stroudsburg, PA 18360-6217

Phone

(484) 526-6643

NPI assigned

Apr 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Internal Medicine

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke's Home Health Home health agency, Bethlehem, PA, CCN 397002
• St Luke's Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330

Merit-based Incentive Payment System (MIPS)

Final score

97.13 of 100Reported as apm

Quality

82.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msiddiqui333812@direct-sluhn.org

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.

• St. Luke's Physician Group, Inc.

  dba South Mountain Family Practice

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment Care Compare group NPD
• Gslpg, Inc

  • Specialist
  • Orwigsburg, PA
  • NPI 1366006702
  Medicare reassignment NPD
• Pennsylvania HM Associates PC

  • Hospitalist Physician
  • East Stroudsburg, PA
  • NPI 1841637865
  Medicare reassignment NPD
• St Luke's Physician Group Inc

  dba St. Luke's Primary Care Orwigsburg

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke's Pulmonary Sleep Medicine

  • Sleep Medicine (Internal Medicine) Physician
  • Fountain Hill, PA
  • NPI 1932775483
  NPD
• St. Luke's Hospital Monroe Campus

  • General Acute Care Hospital
  • Stroudsburg, PA
  • NPI 1396194197
  NPD (past)

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

• St. Luke's Hospital Monroe Campus

  • General Acute Care Hospital
  • Stroudsburg, PA
  • NPI 1396194197
  Care Compare affiliation
• Visiting Nurse Association of Saint Lukes Home Health Hospice Inc

  dba St. Luke's Home Health

  • Home Health Agency
  • Bethlehem, PA
  • NPI 1386645323
  Care Compare affiliation

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1477086254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ST LUKES LN",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606217",
            "telephone_number": "484-526-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ST LUKES LN",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606217",
            "telephone_number": "484-526-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD474371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas Shelton, ATC
• Monique Sheppard, LPC
• Gail Ellen Shirley, D.O.
• Paula Shivock, LAT ATC
• Dennis Shrive
• Thomas Simanski, DNP
• Payal Singh, DDS
• Sudarshan Kumar Singla, M.D.
• Sisters in Action Complete LLC (S.I.A.C. Home Care Agency)
• Jacinta Ann Smedley

• Internal Medicine Physician in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.