Individual provider Active NPI

Pervez A Siddiqui, MD

  • Diagnostic Radiology Physician
  • Boca Raton, FL
National Provider Identifier
1477533396
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01082784A Issued in IN
Practice address
9045 La Fontana Blvd Ste 225
Boca Raton, FL 33434-5643
Phone
(561) 314-5377
Fax
(561) 892-3868
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 89399 FL
Diagnostic Radiology Physician 2085R0202X R0130 TX
Diagnostic Radiology Physician 2085R0202X 01082784A IN Primary
Medical Physician Assistant 363AM0700X 89399 FL

Addresses

Primary practice location

9045 La Fontana Blvd Ste 225
Boca Raton, FL 33434-5643

Mailing address

9045 La Fontana Blvd Ste 225
Boca Raton, FL 33434-5643

Other practice location 1

395 W 12th Ave
Columbus, OH 43210-1267
Phone (614) 293-8315

Other identifiers 1

IdentifierTypeStateIssuer
268692900MedicaidFL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address psiddiqui@hvi.medinformatixdirect.com Direct
Direct Messaging Address psiddiqui247182@direct.urmc.rochester.edu Direct
Direct Messaging Address psiddiqui247182@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, NJ, CA, PA, MI, IN, IL, NV9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20040308000681 FL Practitioner - Diagnostic Radiology 7012805484 Reassigns benefits to 15 organizations
I20040518000816 NY Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 7012805484 Reassigns benefits to 5 organizations
I20141010001454 NJ Practitioner - Diagnostic Radiology 7012805484 Reassigns benefits to 1 organization
I20160817000494 CA Practitioner - Diagnostic Radiology 7012805484 Reassigns benefits to 2 organizations
I20170207002074 PA Practitioner - Diagnostic Radiology 7012805484 Reassigns benefits to 1 organization
I20190819000119 MI Practitioner - Diagnostic Radiology 7012805484 Reassigns benefits to 1 organization
I20190819000204 IN Practitioner - Diagnostic Radiology 7012805484 Reassigns benefits to 2 organizations
I20190819001983 IL Practitioner - Diagnostic Radiology 7012805484 Reassigns benefits to 2 organizations
I20250328003025 NV Practitioner - Diagnostic Radiology 7012805484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians
University Medical Center of Southern NevadaGroup PAC ID 7315934429, 388 clinicians
Osu Radiology LLCGroup PAC ID 8921031675, 180 clinicians

Practice addresses (Care Compare)

17590 Scarsdale Way
Boca Raton, FL 33496-1301
Phone (800) 825-5391

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • University Medical Center Hospital, Las Vegas, NV, CCN 290007
  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89399FLMDDiagnostic Radiology Physician
01082784AINMDDiagnostic Radiology Physician
R0130TXMDDiagnostic Radiology Physician

Practice roles (49 of 51)

OrganizationSpecialtyStatusNew patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Jun 8, 2022 Accepting new patients
Radiologists of Univ of Rochester Diagnostic Radiology CurrentSince Feb 28, 2022 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jan 19, 2025 Accepting new patients
Jackson Radiology Associates PA Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
West Hudson Imaging Associates, PLLC Diagnostic Radiology CurrentSince Sep 18, 2016 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Osu Radiology LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jun 29, 2021 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Los Angeles Radiology Medical Associates, Inc. Diagnostic Radiology CurrentSince Jun 11, 2016 Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Medical Diagnostic Services Inc CurrentSince Jul 14, 2019 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Medical Diagnostic Services Inc Diagnostic Radiology CurrentSince Jul 14, 2019 Accepting new patients
Radiologic Associates Prof Corp Diagnostic Radiology CurrentSince Nov 10, 2016 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Feb 3, 2024 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Dec 1, 2024 Accepting new patients
Medical Diagnostic Services Inc Diagnostic Radiology CurrentSince Jul 14, 2019 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Aug 16, 2014 Accepting new patients
Medical Technology Transfer Corporation Current Accepting new patients
Medical Diagnostic Services Inc Diagnostic Radiology CurrentSince Jul 14, 2019 Accepting new patients
Tower Imaging LLC Diagnostic Radiology Current Accepting new patients
Los Alamitos Radiology Group Inc Diagnostic Radiology CurrentSince Jan 20, 2025 Accepting new patients
Ulster Radiologic Associates, PC CurrentSince Nov 30, 2016 Accepting new patients
St. Josephs Imaging Associates PLLC Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Valley Physician Services PC CurrentSince Mar 1, 2025 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Oct 14, 2023 Accepting new patients
Medical Diagnostic Services Inc CurrentSince Jul 14, 2019 Accepting new patients
Medical Diagnostic Services Inc Current Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Jan 11, 2017 Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Medical Technology Transfer Corporation CurrentSince Aug 5, 2020 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Oct 10, 2025 Accepting new patients
Radiation Oncology Associates of Ft Lauderdale PA Past Accepting new patients
Imaging Consultants of South Florida Diagnostic Radiology Past Accepting new patients
Medical Imaging Specialists, PC Diagnostic Radiology Past Accepting new patients
Edward a Dauer MD PA Diagnostic Radiology Past Accepting new patients
Linda Hughes MD PA Diagnostic Radiology Past Accepting new patients
RM. Imaging, Inc. Diagnostic Radiology PastSince Aug 29, 1997 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Albany Medical Center Hospital Past Accepting new patients
Mercy Medical Development Inc Diagnostic Radiology Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
Plains Radiology Services LLC Diagnostic Radiology Past Accepting new patients
River Radiology PLLC Diagnostic Radiology Past Accepting new patients
Community Care Physicians, PLLC Family Medicine Past Accepting new patients
Madison Radiologists S C Diagnostic Radiology PastSince Feb 15, 2025 Accepting new patients

Locations (25 of 57)

612 W Duarte Rd
Ste 101
Arcadia, CA 91007
Phone (626) 447-0035

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

15370 Fairfield Ranch Rd
Ste B2
Chino Hills, CA 91709
Phone (800) 723-6186

15370 Fairfield Ranch Rd
#B2
Chino Hills, CA 91709
Phone (800) 723-6186

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

5974 Pentz Rd
Paradise, CA 95969
Phone (530) 872-2000

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

438 W Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 289-5454

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

9045 La Fontana Blvd
Ste 224
Boca Raton, FL 33434
Phone (561) 314-5380

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

1800 W Hibiscus Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 676-3535

6538 Collins Ave
Miami Beach, FL 33141
Phone (305) 807-6062

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2525 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 873-6900

4511 N Davis Hwy
Ste 1B
Pensacola, FL 32503
Phone (850) 484-8454

110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 50

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.

View all 50

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1477533396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 LA FONTANA BLVD STE 225",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 LA FONTANA BLVD STE 225",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345643",
            "telephone_number": "561-314-5377",
            "fax_number": "561-892-3868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-293-8315",
            "fax_number": "614-293-6935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "PERVEZ",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "89399",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R0130",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01082784A",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "89399",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268692900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psiddiqui@hvi.medinformatixdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "185 Rykowski Ln Ste 101",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109414055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psiddiqui247182@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psiddiqui247182@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.