Individual provider Active NPI

Abdullah J Siddiqui, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Richmond, TX
National Provider Identifier
1598184459
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A146504 Issued in CA
Practice address
10745 W Grand Pkwy S
Richmond, TX 77407-8711
Phone
(281) 275-0130
NPI assigned
Apr 8, 2014
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R3755 TX
Internal Medicine Physician 207R00000X A146504 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X R3755 TX
Hospitalist Physician 208M00000X R3755 TX
Hospitalist Physician 208M00000X A146504 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A146504 CA Primary

Addresses

Primary practice location

10745 W Grand Pkwy S
Richmond, TX 77407-8711

Mailing address

10745 W Grand Pkwy S Ste 200
Richmond, TX 77407-8713
Phone (282) 275-0130

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Other practice location 2

2400 Highway 365 Ste 112
Nederland, TX 77627-6268
Phone (409) 724-7900

Other practice location 3

701 W 5th St
Odessa, TX 79763-4206
Phone (432) 702-5375

Other practice location 4

1414 S Grand Ave Ste 456
Los Angeles, CA 90015-3071
Phone (213) 745-6047

Other practice location 5

7700 Fish Pond Rd
Waco, TX 76710-1031
Phone (254) 761-4444

Other practice location 6

10745 W Grand Pkwy S Ste 200
Richmond, TX 77407-8713
Phone (282) 275-0130

Other identifiers 3

IdentifierTypeStateIssuer
374720601MedicaidTX
374720602OtherTXCSHCN
R3755OtherTXTX MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170828000083 TX Practitioner - EndocrinologyPractitioner - Internal MedicinePractitioner - Hospitalist 4688964844 Reassigns benefits to 2 organizations
I20210526001846 CA Practitioner - HospitalistPractitioner - Endocrinology 4688964844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

10745 W Grand Pkwy S
Suite 200
Richmond, TX 77407-8713
Phone (346) 239-7067

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146504CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Jan 6, 2025 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jan 1, 2022 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Jan 6, 2025 Accepting new patients
Winnie Community Hospital LLC CurrentSince Oct 3, 2022 Accepting new patients
Winnie Community Hospital, L.L.C. Internal Medicine CurrentSince Oct 3, 2022 Accepting new patients
Charleston Area Medical Center Inc Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2024 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Riverside Medical Clinic, Inc Internal Medicine CurrentSince Mar 11, 2021 Accepting new patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Oct 11, 2024 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
TMH Physician Associates PLLC PastSince Jan 26, 2025 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

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

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

2400 Highway 365
Ste 112
Nederland, TX 77627
Phone (409) 331-4712

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

10745 W Grand Pkwy S
Ste 200
Richmond, TX 77407
Phone (282) 275-0130

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

538 Broadway
Winnie, TX 77665
Phone (409) 296-6000

3100 Maccorkle Ave SE
Ste 810
Charleston, WV 25304
Phone (304) 351-3961

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Interoperability endpoints

  • Direct secure messaging: asiddiqui1197866@direct.sw.org
  • Direct secure messaging: asiddiqui48089@cityofhope.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1598184459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10745 W GRAND PKWY S STE 200",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078713",
            "telephone_number": "282-275-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10745 W GRAND PKWY S",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774078711",
            "telephone_number": "281-275-0130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Highway 365 Ste 112",
            "address_purpose": "LOCATION",
            "city": "Nederland",
            "state": "TX",
            "postal_code": "776276268",
            "country_code": "US",
            "telephone_number": "409-724-7900",
            "fax_number": "409-724-7910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797634206",
            "country_code": "US",
            "telephone_number": "432-702-5375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 S Grand Ave Ste 456",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153071",
            "country_code": "US",
            "telephone_number": "213-745-6047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7700 Fish Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767101031",
            "country_code": "US",
            "telephone_number": "254-761-4444",
            "fax_number": "254-761-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10745 W Grand Pkwy S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774078713",
            "country_code": "US",
            "telephone_number": "282-275-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "ABDULLAH",
        "middle_name": "J",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R3755",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A146504",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "R3755",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R3755",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A146504",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A146504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374720601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "374720602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL LICENSE",
            "identifier": "R3755",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.