Anam Siddiqui

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

291012 Issued in NY

Practice address

16040 78TH Rd
Fresh Meadows, NY 11366-1969

Phone

(347) 475-0911

NPI assigned

Jan 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Nephrology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Queens Nephrology Practice PCGroup PAC ID 3779735519, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Van Wyck Dialysis Dialysis facility, Jamaica, NY, CCN 332509
• DaVita Clearview Dialysis Dialysis facility, Bayside, NY, CCN 332787
• Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score

87.84 of 100Reported as group

Quality

74.98

Promoting interoperability

72

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359

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.

• Queens Nephrology Practice, PC

  • Nephrology Physician
  • Fresh Meadows, NY
  • NPI 1093070500
  Medicare reassignment Care Compare group NPD

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

• Knickerbocker Dialysis Inc

  dba Clearview Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bayside, NY
  • NPI 1710404108

  Dialysis facility

  Care Compare affiliation Name & address match
• Knickerbocker Dialysis Inc

  dba Van Wyck Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jamaica, NY
  • NPI 1942792239

  Dialysis facility

  Care Compare affiliation Name & address match
• Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1285641514
  Care Compare affiliation
• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1609266956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 78TH RD",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661969",
            "telephone_number": "347-475-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "ANAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "291012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vernica A Shrouder, R.N.
• Mohit Shukla, MD
• Si Wonders Corp
• Gila Sianov
• Lena Sianov
• Gary Siegelbaum, O.D.
• David R Silken, DDS
• Sari Siltanen
• Samantha Silva
• Susan Silverman, LCSW-R

• Nephrology Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.