Individual provider Active NPI

Shazia Meraj Siddiqui, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lafayette, IN
National Provider Identifier
1629001680
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
01059790A Issued in IN
Practice address
770 Park East Blvd
Suite B
Lafayette, IN 47905
Phone
(765) 714-4344
Fax
(765) 838-3200
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 01059790A IN Primary
Anesthesiology Physician 207L00000X 01059790A IN

Addresses

Primary practice location

770 Park East Blvd
Suite B
Lafayette, IN 47905

Mailing address

PO Box 5748
Lafayette, IN 47903-5748
Phone (765) 714-4344

Other practice location 1

1104 E Grace St
Rensselaer, IN 47978-3211
Phone (219) 866-2098

Other identifiers 1

IdentifierTypeStateIssuer
201148960MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ssiddiqui@1346.securemail.prognocis.com Direct
Direct Messaging Address ssiddiqui@1346.securemail.prognocis.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20130223000084 IN Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 0345246195 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Pain Management
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Pain Care, P.C.Group PAC ID 3678728680, 8 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

107 S Washington St
Kokomo, IN 46901-4601

1104 E Grace St
Renssalaer, IN 47978-3211
Phone (219) 866-2010

1207 E Grace St
Rensselaer, IN 47978-3248
Phone (765) 714-4344

1714 Dividend Dr
Logansport, IN 46947-1572
Phone (765) 714-4344

412 N Monroe St
Williamsport, IN 47993-1049
Phone (765) 714-4344

707 N River Dr
Marion, IN 46952-2765
Phone (765) 662-0100

770 Park E Blvd
Suite a
Lafayette, IN 47905-0786
Phone (765) 714-4344

770 Park E Blvd B
Lafayette, IN 47905-0786
Phone (765) 714-4344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.5 of 100Reported as individual
Quality
94.02
Promoting interoperability
99
Improvement activities
40
Cost
80.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01059790AINMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Pain Care PC CurrentSince Sep 10, 2012 Accepting new patients
First Ambulatory Surgery Center Current Accepting new patients
LPC Surgery Center LLC CurrentSince Apr 17, 2015 Accepting new patients
Lafayette Pain Care, P.C. CurrentSince Jan 1, 2013 Accepting new patients
Franciscan Physician Network CurrentSince Nov 1, 2025 Accepting new patients
Kokomo Ambulatory Surgery Center CurrentSince Nov 20, 2017 Accepting new patients
Franciscan Physician Network CurrentSince Nov 1, 2025 Accepting new patients
Pulaski Memorial Hospital Current Accepting new patients
Major Hospital Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

107 S Washington St
Ste A
Kokomo, IN 46901
Phone (765) 450-6735

107 S Washington St
Ste C
Kokomo, IN 46901
Phone (317) 798-0040

770 Park East Blvd
Ste B
Lafayette, IN 47905
Phone (765) 366-4344

770 Park East Blvd
Ste A
Lafayette, IN 47905

770 Park East Blvd
Lafayette, IN 47905

1714 Dividend Dr
Logansport, IN 46947
Phone (574) 739-1776

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

1127 N Western Ave
Marion, IN 46952
Phone (765) 661-2994

707 N River Dr
Marion, IN 46952
Phone (765) 573-5999

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

1207 E Grace St
Rensselaer, IN 47978
Phone (800) 541-8142

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

412 N Monroe St
Williamsport, IN 47993
Phone (765) 762-2496

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

613 Terrace Dr
Winamac, IN 46996
Phone (574) 946-4290

Interoperability endpoints

  • Direct secure messaging: shazia.siddiqui@3178.securemail.prognocis.com
  • Direct secure messaging: ssiddiqui@1346.securemail.prognocis.com
  • Direct secure messaging: shazia.siddiqui@4347.securemail.prognocis.com

Organizations & group practices 9

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 5

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1629001680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5748",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479035748",
            "telephone_number": "765-714-4344",
            "fax_number": "765-838-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PARK EAST BLVD",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "47905",
            "telephone_number": "765-714-4344",
            "fax_number": "765-838-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 E Grace St",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "IN",
            "postal_code": "479783211",
            "country_code": "US",
            "telephone_number": "219-866-2098",
            "fax_number": "219-866-9891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SHAZIA",
        "middle_name": "MERAJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01059790A",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01059790A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201148960",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssiddiqui@1346.securemail.prognocis.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "770 Park East Blvd",
            "address_2": "Suite B",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssiddiqui@1346.securemail.prognocis.com",
            "affiliation": "N",
            "endpointDescription": "9/9/20 ALL TOC and Reporting",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "770 Park East Blvd",
            "address_2": "Suite B",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.