NPIMap

Individual provider Active NPI

Minhaj Siddiqi, MD

  • Specialist
  • Utica, NY
National Provider Identifier
1598858458
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
232467 Issued in NY
Practice address
286 Genesee St
Utica, NY 13502-4639
Phone
(315) 266-0600
Fax
(315) 266-0611
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 232467 NY Primary

Addresses

Primary practice location

286 Genesee St
Utica, NY 13502-4639

Mailing address

296 Genesee St
Utica, NY 13502-4618
Phone (315) 266-0600

Other identifiers 1

IdentifierTypeStateIssuer
02695325MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050513000537 NY Practitioner - Psychiatry 4486695038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upstate Cerebral Palsy IncGroup PAC ID 5496734758, 30 clinicians

Practice addresses (Care Compare)

1601 Armory Dr
Utica, NY 13501-5405
Phone (315) 798-8868

286 Genesee St
Suite 5
Utica, NY 13502-4639
Phone (315) 266-0600

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Cerebral Palsy, Inc. CurrentSince Jun 6, 2016 Accepting new patients
Upstate Cerebral Palsy, Inc CurrentSince Jun 6, 2016 Accepting new patients
Genesee Street Medical Health CurrentSince Aug 1, 2018 Accepting new patients
Central Ny Mental Health Services PastSince Jan 1, 1990 Accepting new patients
New Hartford Psychiatric Services PLLC PastSince Sep 21, 2016 Accepting new patients

Locations

125 Business Park Dr
Utica, NY 13502
Phone (315) 724-6907

1601 Armory Dr
Utica, NY 13501
Phone (315) 798-4006

1002 Oswego St
Utica, NY 13502
Phone (315) 798-8868

286 Genesee St
Ste 5
Utica, NY 13502
Phone (315) 266-0600

286 Genesee St
Utica, NY 13502
Phone (315) 266-0600

Organizations & group practices 5

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 9

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1598858458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024618",
            "telephone_number": "315-266-0600",
            "fax_number": "315-266-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024639",
            "telephone_number": "315-266-0600",
            "fax_number": "315-266-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "MINHAJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "232467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02695325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.