Individual provider Active NPI

Nayyar Siddique, MD

  • Hematology & Oncology Physician
  • Oceanside, CA
National Provider Identifier
1497890610
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A62744 Issued in CA
Practice address
3617 Vista Way
Oceanside, CA 92056-4522
Phone
(760) 758-5770
Fax
(760) 721-8597
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X LT20873 ND
Hematology & Oncology Physician 207RH0003X A62744 CA Primary

Addresses

Primary practice location

3617 Vista Way
Oceanside, CA 92056-4522

Mailing address

3617 Vista Way
Oceanside, CA 92056-4522
Phone (760) 758-5770

Other identifiers 1

IdentifierTypeStateIssuer
00A627440MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN, MT, ND4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20120208000292 CA Practitioner - Hematology/Oncology 3577634369 Reassigns benefits to 2 organizations
I20230710000620 MN Practitioner - Hematology/Oncology 3577634369 Reassigns benefits to 1 organization
I20240406000291 MT Practitioner - Internal Medicine 3577634369 Reassigns benefits to 2 organizations
I20240502000949 ND Practitioner - Medical Oncology 3577634369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity HealthGroup PAC ID 2062320559, shared by 43 NPIs, 88 clinicians
Enloe Specialty Physicians IncGroup PAC ID 7416111893, 24 clinicians
Northern Montana HospitalGroup PAC ID 2264343912, 44 clinicians

Practice addresses (Care Compare)

2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 225-7779

265 Cohasset Rd
Chico, CA 95926-2273
Phone (530) 332-3808

40 13TH St W
Havre, MT 59501-5218
Phone (406) 262-6000

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Northern Montana Hospital Hospital, Havre, MT, CCN 271348
  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012
  • Essentia Health St Joseph'S Medical Center Hospital, Brainerd, MN, CCN 240075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LT20873NDMDMedical Oncology Physician
1033MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carris Health LLC Hematology & Oncology CurrentSince May 1, 2023 Accepting new patients
Innovis Health LLC CurrentSince Apr 22, 2024 Accepting new patients
St Joseph'S Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Northern Montana Hospital CurrentSince Feb 24, 2024 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Innovis Health LLC CurrentSince Apr 22, 2024 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Enloe Specialty Physicians, Inc Medical Oncology CurrentSince Jun 23, 2025 Accepting new patients
Carris Health LLC CurrentSince May 1, 2023 Accepting new patients
Scripps Health Current Accepting new patients
St. Joseph'S Medical Center Current Accepting new patients
St. Joseph'S Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Northern Montana Hospital CurrentSince Feb 24, 2024 Accepting new patients

Locations

265 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3808

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

30 13th St
Havre, MT 59501
Phone (406) 262-1302

40 13th St W
Havre, MT 59501
Phone (406) 262-6000

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

Interoperability endpoints

  • Direct secure messaging: nayyar.siddique@nconcology.directbygreenway.com
  • Direct secure messaging: nsiddique27538@scrippshlth.medalliesdirect.net

Organizations & group practices 14

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 14

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1497890610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "760-758-5770",
            "fax_number": "760-721-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564522",
            "telephone_number": "760-758-5770",
            "fax_number": "760-721-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "NAYYAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "ND",
            "license": "LT20873",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A62744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A627440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.