Mohammad Sabahat Siddiqui, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

L3829 Issued in TX

Practice address

3480 College St
Beaumont, TX 77701-4612

Phone

(409) 813-1677

Fax

(409) 813-1699

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diagnostic Group Integrated Healthcare System, PLLC 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
• Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GHACBA

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 Group Integrated Healthcare System PLLC

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1194061655

  Critical Care Medicine, TX

  Medicare reassignment Care Compare group NPD
• Mohammad Siddiqui, M.D.,P.a.

  • Pulmonary Disease Physician
  • Lufkin, TX
  • NPI 1316265044

  Pulmonary Disease

  NPD Authorized official
• Baptist Hospitals of Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  NPD (past)
• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  NPD (past)
• Harbor Hospice of Richmond, LP

  • Community Based Hospice Care Agency
  • Sugar Land, TX
  • NPI 1396091302
  NPD (past)
• Sadler Clinic Association

  • Multi-Specialty Clinic/Center
  • Conroe, TX
  • NPI 1114979127
  NPD (past)
• Digestive Disease Associates of Central Florida

  • Gastroenterology Physician
  • Wesley Chapel, FL
  • NPI 1629377635
  NPD (past)
• Perwaiz Rahim MD PA

  • Pulmonary Disease Physician
  • Lakeland, FL
  • NPI 1962627893

  Pulmonary Disease

  NPD (past)

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

• Baptist Hospitals of Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187

  Hospital

  Care Compare affiliation
• Christus Health Southeast Texas

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707

  Hospital

  Care Compare affiliation
• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1487742383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST STE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-1677",
            "fax_number": "409-813-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-1677",
            "fax_number": "409-813-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3406 College St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014612",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "fax_number": "409-813-1699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MOHAMMAD",
        "middle_name": "SABAHAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "L3829",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "L3829",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L3829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Beaumont, TX
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.