Adnan Siddiqui, MD

Key facts

NPI

1508093899

Entity type

Individual (NPI type 1)

Primary specialty

Anatomic Pathology & Clinical Pathology Physician 207ZP0102X

License

D0085146 (MD)

Practice address

4831 Tesla Dr Ste F
Bowie, MD 20715

Phone

(240) 737-0080

NPI assigned

Jun 15, 2009

Sex

Male

Sole proprietor

No

Organizations & group practices 7

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.

• Capital Digestive Care LLC Gastroenterology Physician · Silver Spring, MD · NPI 1164683181
  Medicare reassignment Care Compare group NPD DC · MD
• Gastro Center of Maryland LLC Gastroenterology Physician · Columbia, MD · NPI 1164609111
  Medicare reassignment NPD ANATOMIC PATHOLOGY & CLINICAL PATHOLOGY · DC · MD
• Capital Digestive Care ,LLC Gastroenterology Physician · Williamsburg, VA · NPI 1992752521
  Care Compare group
• Capital Digestive Care, LLC Gastroenterology Physician · Temple Hills, MD · NPI 1437997988
  NPD
• Endoscopy Center of Washington DC LP Ambulatory Surgical Clinic/Center · Washington, DC · NPI 1154301240
  NPD
• Arundel Anesthesia, LLC Anesthesiology Physician · Columbia, MD · NPI 1417666231
  NPD (past)
• David a. Morowitz Gastroenterology Physician · Chevy Chase, MD · NPI 1508280728
  NPD (past)

Medicare Care Compare profile

Specialty

Pathology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Digestive Care LLC (241 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in DC, MD

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 15, 2018.

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1508093899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR STE 200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 TESLA DR STE F",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20715",
            "telephone_number": "240-737-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Manchester Park Lane",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "27560",
            "country_code": "US",
            "telephone_number": "919-619-3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "ADNAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116021813",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D0085146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Bowie, MD · Anatomic Pathology & Clinical Pathology Physician in Maryland