Faisal Siddiqui, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

36087 Issued in KY

Practice address

2400 Russellville Rd
Hopkinsville, KY 42240-8095

Phone

(270) 889-6025

Fax

(270) 886-4487

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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.

• State of Tennessee

  • Public Health or Welfare Agency
  • Jasper, TN
  • NPI 1487791315

  TN

  Medicare reassignment NPD
• State of Tennessee

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD
• State of Tennessee State F & a Payroll

  • Psychiatric Hospital Unit
  • Chattanooga, TN
  • NPI 1306818265
  NPD
• State of Tennessee State F&a Payroll

  • Psychiatric Hospital
  • Nashville, TN
  • NPI 1194869297
  NPD
• Commonwealth of Kentucky

  • Psychiatry Physician
  • Hopkinsville, KY
  • NPI 1134124167

  Psychiatry

  NPD (past)
• Commonwealth of Kentucky

  • Psychiatric Hospital
  • Hopkinsville, KY
  • NPI 1508861683

  Psychiatry

  NPD (past)
• Family Options Inc

  • Clinical Social Worker
  • Morgantown, KY
  • NPI 1356327076

  Psychiatry

  NPD (past)
• Family Options, Inc.

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1558532853
  NPD (past)
• Paras Harshawat, MD

  • Psychiatry Physician
  • Terre Haute, IN
  • NPI 1518178417

  Psychiatry

  NPD (past)

Specialty

Psychiatry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of Tennessee 21 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TN

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497891998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 RUSSELLVILLE RD",
            "address_2": "P.O. BOX 2200",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408095",
            "telephone_number": "270-889-6025",
            "fax_number": "270-886-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 RUSSELLVILLE RD",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408095",
            "telephone_number": "270-889-6025",
            "fax_number": "270-886-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "FAISAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "36087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64028657",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Shemwell
• Paresh V Sheth, M.D.
• Amanda Cook Sholar, APRN FNP-C
• Amanda E Sholar, ARNP
• Nusrat Siddiqi, MD
• Sharon Simmons
• Brittany Faye Simpson
• Yvette Simpson
• Paige Sims
• Ian Scott Sink, D.O.

• All providers in Hopkinsville, KY
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.