Individual provider Active NPI

Zara Mustajab Siddiqui, D.O.

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1508211384
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U5523 Issued in TX
Practice address
20423 Kuykendahl Rd Ste 100
Spring, TX 77379-3492
Phone
(281) 500-8660
Fax
(281) 500-8669
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U5523 TX Primary

Addresses

Primary practice location

20423 Kuykendahl Rd Ste 100
Spring, TX 77379-3492

Mailing address

4757 S 7TH St
Terre Haute, IN 47802-4559
Phone (812) 234-2289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U5523TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Associates of West Houston PLLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1140 Business Center Dr
Ste 490
Houston, TX 77043
Phone (713) 932-1247

20423 Kuykendahl Rd
Ste 100
Spring, TX 77379
Phone (281) 500-8660

15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010

Interoperability endpoints

  • Direct secure messaging: zara.siddiqui@hca9.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1508211384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024559",
            "telephone_number": "812-234-2289",
            "fax_number": "812-232-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20423 KUYKENDAHL RD STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793492",
            "telephone_number": "281-500-8660",
            "fax_number": "281-500-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "ZARA",
        "middle_name": "MUSTAJAB",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U5523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.