Khawar Siddique, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A85394 Issued in CA

Practice address

8436 W 3Rd St
Suite 800
Los Angeles, CA 90048-4163

Phone

(310) 746-5918

Fax

(323) 433-7016

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 24, 2023 through Jan 24, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/miracle-a06f6fc8
• Direct secure messaging: ksiddique42246@direct.cshs.org

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.

• Docs Surgical Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1528533254
  NPD Authorized official
• Doctors Outpatient Center for Surgery Inc

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
  • NPI 1215263355
  NPD (past) Authorized official
• Robertson Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1952516395
  NPD (past)
• Spine Reconstruction Partners

  • Orthopaedic Surgery of the Spine Physician
  • Los Angeles, CA
  • NPI 1861411902
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1548214570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD",
            "address_2": "SUITE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-746-5918",
            "fax_number": "323-433-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8436 W 3RD ST",
            "address_2": "SUITE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484163",
            "telephone_number": "310-746-5918",
            "fax_number": "323-433-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "KHAWAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A85394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rossana Sida
• Mohamed Hisham Siddeek
• Farah Naz Siddiqi, DO
• Sameera Siddiqi, MD
• Crystal Riza Siddique
• Hanna Siddiqui
• Humza Aziz Siddiqui
• Korrina Siddiqui, MD
• Mohammad Rashid Siddiqui, MD
• Nawal Maryam Siddiqui, MD

• Neurological Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.