Individual provider Active NPI

Meiraj Ahmad Siddiqui, M.D.

  • Ophthalmology Physician
  • Monroe, MI
National Provider Identifier
1508869223
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MS070938 Issued in MI
Practice address
725 N Monroe St
Monroe, MI 48162-2936
Phone
(734) 242-2727
Fax
(734) 242-2745
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MS070938 MI Primary

Addresses

Primary practice location

725 N Monroe St
Monroe, MI 48162-2936

Mailing address

725 N Monroe St
Monroe, MI 48162-2936
Phone (734) 242-2727

Other identifiers 1

IdentifierTypeStateIssuer
104324384MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MAS@esa.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000585 MI Practitioner - Ophthalmology 4789602665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M. Hanif Peracha , M.D. , P.C.Group PAC ID 5193743078, 5 clinicians

Practice addresses (Care Compare)

725 N Monroe St
Monroe, MI 48162-2936
Phone (734) 242-2727

Merit-based Incentive Payment System (MIPS)

Final score
92.97 of 100Reported as group
Quality
97.77
Improvement activities
40
Cost
79.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MS070938MIMDOphthalmology Physician

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1508869223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622936",
            "telephone_number": "734-242-2727",
            "fax_number": "734-242-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622936",
            "telephone_number": "734-242-2727",
            "fax_number": "734-242-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MEIRAJ",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "MS070938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104324384",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MAS@esa.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "HISP messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HISP",
            "address_1": "725 N Monroe St",
            "city": "Monroe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481622936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.