Iftequar Ahmed Siddiqui, MD, PHARM.D

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

54364 Issued in AZ

Practice address

5355 E Erickson Dr
Tucson, AZ 85712-2826

Phone

(520) 324-2080

NPI assigned

Mar 25, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Chicago College of Osteopathy, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• TMC Medical Network

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1750832283
  Medicare reassignment Care Compare group NPD
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Medicare reassignment NPD
• Tucson Medical Center

  • Community/Retail Pharmacy
  • Tucson, AZ
  • NPI 1972876563
  NPD
• Tucson Medical Center

  • Psychiatric Hospital Unit
  • Tucson, AZ
  • NPI 1881683126

  Interventional Pain Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1548536469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 E BELL RD",
            "address_2": "STE 107 BOX 468",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602189",
            "telephone_number": "480-325-9600",
            "fax_number": "480-493-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 E ERICKSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122826",
            "telephone_number": "520-324-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3933 W Fitch Ave",
            "address_purpose": "LOCATION",
            "city": "Lincolnwood",
            "state": "IL",
            "postal_code": "607121013",
            "country_code": "US",
            "telephone_number": "630-909-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3933 W Fitch Ave",
            "address_purpose": "LOCATION",
            "city": "Lincolnwood",
            "state": "IL",
            "postal_code": "607121013",
            "country_code": "US",
            "telephone_number": "630-909-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8997 E Desert Cove Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606742",
            "country_code": "US",
            "telephone_number": "480-664-3317",
            "fax_number": "480-493-5336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "IFTEQUAR",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MD, PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-25",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A141107",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "54364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318631",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Sias
• Laura Suzanne Sickels, NMD
• Julie Ann Sickles, FNP
• David Siddall, LCSW
• Yumna Siddique
• Khaja Siddiqui, MD
• Kiran Fatima Siddiqui, MD
• Syyeda Afreen Siddiqui, M.D.
• Heather R Siddons, APRN
• Helen De Los Angeles Siddons

• Interventional Pain Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.

Verify at the official NPI Registry.