Sumaiya Waseem Siddiqi, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

55111 Issued in WI

Practice address

1836 South Ave
La Crosse, WI 54601-5429

Phone

(608) 782-7300

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, IA2 enrollments

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 2

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gundersen Clinic LTD 422 clinicians

Gundersen Regional Clinics, LLC 51 clinicians

Gundersen Lutheran Medical Center Inc 888 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gundersen Lutheran Renal Dialysis - Tomah Dialysis facility, Tomah, WI, CCN 523505
• Gundersen Lutheran Renal Dialysis - Onalaska Dialysis facility, Onalaska, WI, CCN 523528
• Gundersen Lutheran Renal Dialysis - la Crosse Dialysis facility, La Crosse, WI, CCN 522313
• Gundersen Lutheran Medical Center Hospital, La Crosse, WI, CCN 520087
• Gundersen St Josephs Hospital and Clinics Hospital, Hillsboro, WI, CCN 521304
• Crossing Rivers Health Medical Center Hospital, Prairie Du Chien, WI, CCN 521330
• Tomah Memorial Hospital Hospital, Tomah, WI, CCN 521320
• Black River Memorial Hospital Hospital, Black River Falls, WI, CCN 521333

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssiddiqi21635@direct.emplifyhealth.org

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.

• Gundersen Lutheran Medical Center Inc

  • Clinic/Center
  • La Crosse, WI
  • NPI 1225873458

  WI

  Medicare reassignment Care Compare group NPD
• Gundersen Regional Clinics, LLC

  • Clinic/Center
  • Decorah, IA
  • NPI 1699461558

  IA

  Medicare reassignment Care Compare group NPD
• Gundersen Clinic LTD

  • Clinic/Center
  • La Crosse, WI
  • NPI 1851343115

  IA, WI

  Medicare reassignment NPD
• Memorial Hospital of Boscobel

  • Critical Access Hospital
  • Boscobel, WI
  • NPI 1760459846

  WI

  Medicare reassignment NPD
• St. Joseph'S Health Services, Inc.

  • Clinic/Center
  • Hillsboro, WI
  • NPI 1104031798

  WI

  Medicare reassignment NPD
• St. Joseph'S Health Services, Inc.

  • Critical Access Hospital
  • Hillsboro, WI
  • NPI 1972591410

  WI

  Medicare reassignment NPD
• Tri-County Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Whitehall, WI
  • NPI 1417201864

  WI

  Medicare reassignment NPD
• Gundersen Lutheran Medical Center Inc

  • General Acute Care Hospital
  • La Crosse, WI
  • NPI 1376593442
  Care Compare group NPD
• Gundersen Lutheran Medical Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Onalaska, WI
  • NPI 1871837567
  Care Compare group NPD
• Gundersen Regional Clinics LLC

  • Clinic/Center
  • Decorah, IA
  • NPI 1043999071
  Care Compare group NPD
• Gundersen Lutheran Medical Center Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Viroqua, WI
  • NPI 1003159195
  Care Compare group
• Gundersen Lutheran Medical Center Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Onalaska, WI
  • NPI 1215270327
  Care Compare group

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

• Gundersen Lutheran Medical Center Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • La Crosse, WI
  • NPI 1205598570

  Dialysis facility

  Care Compare affiliation Name & address match
• Gundersen Lutheran Medical Center Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Onalaska, WI
  • NPI 1215270327

  Dialysis facility

  Care Compare affiliation Name & address match
• Gundersen Lutheran Medical Center Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tomah, WI
  • NPI 1972846087

  Dialysis facility

  Care Compare affiliation Name & address match
• Black River Health Inc

  • Critical Access Hospital
  • Black River Falls, WI
  • NPI 1811940331

  Hospital

  Care Compare affiliation
• Gundersen Lutheran Medical Center Inc

  • General Acute Care Hospital
  • La Crosse, WI
  • NPI 1376593442

  Hospital

  Care Compare affiliation
• Gundersen Lutheran Medical Center Inc

  • Clinic/Center
  • La Crosse, WI
  • NPI 1790646719

  Hospital

  Care Compare affiliation
• Gundersen Lutheran Medical Center, Inc

  • Clinic/Center
  • Onalaska, WI
  • NPI 1225372923

  Hospital

  Care Compare affiliation
• Gundersen Lutheran Medical Center, Inc

  • Clinic/Center
  • La Crosse, WI
  • NPI 1497090138

  Hospital

  Care Compare affiliation
• Gundersen Lutheran Medical Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Onalaska, WI
  • NPI 1871837567

  Hospital

  Care Compare affiliation
• Gundersen Lutheran Medical Center, Inc.

  • Air Ambulance
  • La Crosse, WI
  • NPI 1467468173

  Hospital

  Care Compare affiliation
• Prairie Du Chien Memorial Hospital Association Inc

  • Critical Access Hospital
  • Prairie Du Chien, WI
  • NPI 1619024197

  Hospital

  Care Compare affiliation
• St. Joseph'S Health Services, Inc.

  • Critical Access Hospital
  • Hillsboro, WI
  • NPI 1972591410

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1679607709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "SUMAIYA",
        "middle_name": "WASEEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "22688",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "55111",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "40028",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Shortreed
• Muhammad Shuja, MD
• Paul S Shultz, MD
• Justin K Shurts, D.O.
• Sally S Sibblad, LMFT CADC
• Nashreena Kaur Sidhu
• Elena I Sidorenko, MD
• Brian M Sieck, MD
• Sandra Ann Sieck, MD
• Richard Norman Siegfried, M.D.

• All providers in La Crosse, WI
• Nephrology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.