Active NPI
Muhammad Adil Siddiqui
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1649859976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- V1893
- Practice address
- 6411 Fannin St
Houston, TX 77030-1501 - Phone
- (713) 704-5437
- NPI assigned
- Apr 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | V1893 | TX | Primary |
Addresses
Primary practice location
6411 Fannin St
Houston, TX 77030-1501
Mailing address
6431 Fannin St
Houston, TX 77030-1501
Other practice location 1
90 Presidential Plz
Syracuse, NY 13202-2240
Phone (315) 464-4357
Other names 1
- Adil Siddiqui
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V1893 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Pediatrics | Current | Accepting new patients |
Locations
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6410 Fannin St
#135
Houston, TX 77030
6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200
6431 Fannin St
Houston, TX 77030
Phone (713) 500-5800
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1649859976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-704-5437"
}
],
"practiceLocations": [
{
"address_1": "90 Presidential Plz",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132022240",
"country_code": "US",
"telephone_number": "315-464-4357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "MUHAMMAD ADIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-05",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "V1893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADIL",
"last_name": "SIDDIQUI",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.