NPIMap

Individual provider Active NPI

Mohammad Bilal Siddiqui, D.O.

  • Gastroenterology Physician
  • Richmond, VA
National Provider Identifier
1598183592
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0102206064 Issued in VA
Practice address
7611 Forest Ave Ste 320
Richmond, VA 23229-4946
Phone
(804) 285-8206
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 0102206064 VA Primary

Addresses

Primary practice location

7611 Forest Ave Ste 320
Richmond, VA 23229-4946

Mailing address

2369 Staples Mill Rd
Ste 200
Richmond, VA 23230-2918
Phone (804) 285-8206

Other practice location 1

1250 E. Marshall St
PO Box 980341
Richmond, VA 23298-0341
Phone (804) 828-4060

Other practice location 2

2369 Staples Mill Rd
Ste 200
Richmond, VA 23230-2918
Phone (804) 285-8206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610003502 VA Practitioner - Gastroenterology 4082985031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Virginia Commonwealth University, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialists LLCGroup PAC ID 5294797957, 79 clinicians

Practice addresses (Care Compare)

7611 Forest Ave
Suite 320
Richmond, VA 23229-4946
Phone (804) 285-2965

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy112
Upper gastrointestinal (GI) endoscopy for acid reflux143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102206064VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialists LLC Gastroenterology CurrentSince May 7, 2020 Accepting new patients

Locations

8266 Atlee Rd
Ste 133
Mechanicsville, VA 23116
Phone (804) 730-0792

201 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 289-1131

215 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 497-4973

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

7611 Forest Ave
Ste 320
Richmond, VA 23229
Phone (804) 237-7950

2369 Staples Mill Rd
Ste 200
Richmond, VA 23230
Phone (804) 285-4465

2369 Staples Mill Rd
Ste 100
Richmond, VA 23230
Phone (804) 354-8818

1600 Wilkes Ridge Dr
Ste 100
Richmond, VA 23233
Phone (703) 563-0042

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1598183592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 STAPLES MILL RD",
            "address_2": "STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302918",
            "telephone_number": "804-285-8206",
            "fax_number": "804-440-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 FOREST AVE STE 320",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294946",
            "telephone_number": "804-285-8206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E. Marshall St",
            "address_2": "PO BOX 980341",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232980341",
            "country_code": "US",
            "telephone_number": "804-828-4060",
            "fax_number": "713-500-6497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2369 STAPLES MILL RD",
            "address_2": "STE 200",
            "address_purpose": "LOCATION",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302918",
            "country_code": "US",
            "telephone_number": "804-285-8206",
            "fax_number": "804-440-3074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MOHAMMAD",
        "middle_name": "BILAL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0102206064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.