Active NPI
Shazia Meraj Siddiqui, MD
- Pain Medicine (Anesthesiology) Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 01059790A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201148960 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Pulaski Memorial Hospital
- Franciscan Health Rensselaer, Inc
- Ascension St Vincent Kokomo
- Northwest Health - Starke
- Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.5 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01059790A | IN | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Pain Care PC | Current | Accepting new patients | |
| First Ambulatory Surgery Center | Current | Accepting new patients | |
| LPC Surgery Center LLC | Current | Accepting new patients | |
| Lafayette Pain Care, P.C. | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Kokomo Ambulatory Surgery Center | Current | Accepting new patients | |
| Franciscan Physician Network | Current | 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
- shazia.siddiqui@3178.securemail.prognocis.com
- ssiddiqui@1346.securemail.prognocis.com
- 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.
-
- Pain Medicine Physician
- Lafayette, IN
- NPI 1205189594
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Ambulatory Surgical Clinic/Center
- Lafayette, IN
- NPI 1447612114
-
- Critical Access Hospital
- Winamac, IN
- NPI 1306928213
-
- Ambulatory Surgical Clinic/Center
- Kokomo, IN
- NPI 1316712243
-
- Ambulatory Surgical Clinic/Center
- Kokomo, IN
- NPI 1609376409
-
- Interventional Pain Medicine Physician
- Logansport, IN
- NPI 1548970478
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Healthcare Rensselaer
- Critical Access Hospital
- Rensselaer, IN
- NPI 1932589173
-
dba Northwest Health- Starke
- Rural Acute Care Hospital
- Knox, IN
- NPI 1679948319
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
-
- Critical Access Hospital
- Winamac, IN
- NPI 1306928213
-
dba Ascension St. Vincent Kokomo
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.