Active NPI
Pervez A Siddiqui, MD
- Diagnostic Radiology Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01082784A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268692900 | Medicaid | FL |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040308000681 | FL | Practitioner - Diagnostic Radiology | 7012805484 | Reassigns benefits to 15 organizations |
| I20040518000816 | NY | Practitioner - Diagnostic Radiology | 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
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
- Ohio State University State Health System
- University Medical Center
- James Cancer Hospital & Solove Research Institute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89399 | FL | MD | Diagnostic Radiology Physician |
| 01082784A | IN | MD | Diagnostic Radiology Physician |
| R0130 | TX | MD | Diagnostic Radiology Physician |
Practice roles (49 of 51)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| Radiologists of Univ of Rochester | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Medical Center of Southern Nevada | Current | Accepting new patients | |
| Jackson Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| West Hudson Imaging Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Osu Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Los Angeles Radiology Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Sol Radiology, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Medical Diagnostic Services Inc | Current | Accepting new patients | |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Medical Diagnostic Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radiologic Associates Prof Corp | Diagnostic Radiology | Current | Accepting new patients |
| Lucidsolutions, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| University Medical Center of Southern Nevada | Current | Accepting new patients | |
| Medical Diagnostic Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Medical Technology Transfer Corporation | Current | Accepting new patients | |
| Medical Diagnostic Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Los Alamitos Radiology Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Ulster Radiologic Associates, PC | Current | Accepting new patients | |
| St. Josephs Imaging Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Valley Physician Services PC | Current | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Medical Diagnostic Services Inc | Current | Accepting new patients | |
| Medical Diagnostic Services Inc | Current | Accepting new patients | |
| Radiant Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Medical Technology Transfer Corporation | Current | Accepting new patients | |
| Radia Inc P S | Diagnostic Radiology | Current | 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 | Past | 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 | Past | 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 | Past | 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.
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1912956814
Diagnostic Radiology, FL
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1548393127
FL, NV
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- West Islip, NY
- NPI 1255962783
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
Diagnostic Radiology, IN
-
- Diagnostic Radiology Physician
- Jackson, TN
- NPI 1699700716
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Glendale, CA
- NPI 1366525487
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1518594480
Diagnostic Radiology, FL
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
Hospital
-
- Urgent Care Clinic/Center
- North Las Vegas, NV
- NPI 1104538966
Hospital
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1376105478
Hospital
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1467014571
Hospital
-
- Urgent Care Clinic/Center
- Henderson, NV
- NPI 1538721642
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1548393127
Hospital
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1568024669
Hospital
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1649832759
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.