Individual provider Active NPI

Adnan Siddiqui, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Bowie, MD
National Provider Identifier
1508093899
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
D0085146 Issued in MD
Practice address
4831 Tesla Dr Ste F
Bowie, MD 20715
Phone
(240) 737-0080
NPI assigned
Jun 15, 2009
Last updated
Jun 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116021813 VA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X D0085146 MD Primary

Addresses

Primary practice location

4831 Tesla Dr Ste F
Bowie, MD 20715

Mailing address

12510 Prosperity Dr Ste 200
Silver Spring, MD 20904-1640

Other practice location 1

455 Manchester Park Lane
Morrisville, NC 27560
Phone (919) 619-3214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180525000884 DC Practitioner - Pathology 8820238413 Reassigns benefits to 2 organizations
I20221213002388 MD Practitioner - Pathology 8820238413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

4831 Telsa Dr F
Bowie, MD 20715-4328
Phone (240) 737-0080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116021813VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Washington DC LP Current Accepting new patients
Gastro Center of Maryland LLC Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2025 Accepting new patients
Capital Digestive Care LLC CurrentSince Jun 1, 2018 Accepting new patients
Capital Digestive Care, LLC CurrentSince Jun 1, 2018 Accepting new patients
Arundel Anesthesia, LLC PastSince Nov 27, 2022 Accepting new patients
David a. Morowitz Past Accepting new patients

Locations

7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

3405 Olandwood Ct
Ste 102
Olney, MD 20832
Phone (301) 570-8671

10770 Columbia Pike
Ste 400
Silver Spring, MD 20901
Phone (215) 589-9012

11921 Bournefield Way
Ste 100
Silver Spring, MD 20904
Phone (240) 737-0080

12510 Prosperity Dr
Ste 200
Silver Spring, MD 20904
Phone (240) 485-5200

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.