Shahid N Siddiqui, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A94134 Issued in CA

Practice address

43830 10TH St W
Lancaster, CA 93534-4826

Phone

(702) 579-5858

Fax

(800) 890-6055

NPI assigned

Sep 19, 2006

Sex

Male

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 CA

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

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acute Care Associates of California PCGroup PAC ID 2668812215, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blue Sky Home Health Care, Inc Home health agency, Van Nuys, CA, CCN 059126
• Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
• The Ellison John Transitional Care Center Nursing home, Lancaster, CA, CCN 555904

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Premiere Rehabilitation & Wellness Center of Lancaster LP

  • Skilled Nursing Facility
  • Lancaster, CA
  • NPI 1932555976

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Acute Care Associates of California PC

  • Internal Medicine Physician
  • Wildomar, CA
  • NPI 1194588392

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Shahid N Siddiqui MD a Medical Corporation

  • Internal Medicine Physician
  • Lancaster, CA
  • NPI 1164932661
  Medicare reassignment NPD Authorized official
• Merced Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Merced, CA
  • NPI 1730431875
  Medicare reassignment NPD
• Banner-University Medical Group

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1508809427

  Family Medicine

  NPD (past)

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

• Blue Sky Home Health Care, Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1578780185
  Care Compare affiliation
• Lancaster Hospital Corporation

  • General Acute Care Hospital
  • Palmdale, CA
  • NPI 1508856535
  Care Compare affiliation
• Premiere Rehabilitation & Wellness Center of Lancaster LP

  • Skilled Nursing Facility
  • Lancaster, CA
  • NPI 1932555976

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639276140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26542 BROOKS CIR",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913811432",
            "telephone_number": "702-579-5858",
            "fax_number": "800-890-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43830 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344826",
            "telephone_number": "702-579-5858",
            "fax_number": "800-890-6055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26542 Brooks Cir",
            "address_purpose": "LOCATION",
            "city": "Stevenson Ranch",
            "state": "CA",
            "postal_code": "913811432",
            "country_code": "US",
            "telephone_number": "702-579-5858",
            "fax_number": "800-890-6055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SHAHID",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35650",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A94134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Sibole
• Chris Sica
• Maria Sical, RBT
• Janeth Sta Barbara Sicam, PHYSICAL THERAPISTS
• Donald Eugene Sicher, P.A.-C
• Qanwarpartap S Sidhu, MD
• Sierra Educational Advancement Corporation
• Sierra Gastroenterology
• Sierra Gastroenterology
• Sierra Medical Group Holding Company, Inc.

• Internal Medicine Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.