Active NPI
Adnan Siddiqui, MD
- Anatomic Pathology & Clinical Pathology Physician
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- D0085146
- Practice address
- 4831 Tesla Dr Ste F
Bowie, MD 20715 - Phone
- (240) 737-0080
- NPI assigned
- Jun 15, 2009
- Last updated
- Jun 15, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0116021813 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endoscopy Center of Washington DC LP | Current | Accepting new patients | |
| Gastro Center of Maryland LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Capital Digestive Care LLC | Current | Accepting new patients | |
| Capital Digestive Care, LLC | Current | Accepting new patients | |
| Arundel Anesthesia, LLC | Past | 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.
-
- Gastroenterology Physician
- Columbia, MD
- NPI 1164609111
Anatomic Pathology & Clinical Pathology, DC
-
- Gastroenterology Physician
- Temple Hills, MD
- NPI 1437997988
-
dba The Endoscopy Center of Washington, D.C.
- Ambulatory Surgical Clinic/Center
- Washington, DC
- NPI 1154301240
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1417666231
-
- Gastroenterology Physician
- Chevy Chase, MD
- NPI 1508280728
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.