NPIMap

Individual provider Active NPI

Munawar Siddiqi, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • London, KY
National Provider Identifier
1689643801
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
38485 Issued in KY
Practice address
106 Fortress Properties St
Suite 2
London, KY 40741-3125
Phone
(859) 224-9989
Fax
(606) 877-4560
NPI assigned
Mar 17, 2006
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 38485 KY Primary

Addresses

Primary practice location

106 Fortress Properties St
Suite 2
London, KY 40741-3125

Mailing address

106 Fortress Properties St
Suite 2
London, KY 40741-3125
Phone (859) 224-9989

Other identifiers 1

IdentifierTypeStateIssuer
2346170MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040508000088 KY Practitioner - Pain ManagementPractitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4688663305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2135 Hwy 30 Byp
London, KY 40741-6139
Phone (606) 877-4560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Solutions of Corbin, LLC CurrentSince Mar 11, 2026 Accepting new patients
Quality Care Consultants Pain Medicine Current Accepting new patients
Clinic Physician Services Co. LLC Past Accepting new patients
Chiropractic Rehabilitation & Injury Clinic Inc Past Accepting new patients
Anesthesia Associates of Southern Ohio, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Alliance Physicians Inc Past Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients
Lakota Medical, LLC Past Accepting new patients

Locations

106 Fortress Properties St
#2
London, KY 40741
Phone (606) 770-5053

Interoperability endpoints

  • Direct secure messaging: msiddiqi318753@direct.stlukeshealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1689643801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FORTRESS PROPERTIES ST",
            "address_2": "SUITE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413125",
            "telephone_number": "859-224-9989",
            "fax_number": "606-877-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FORTRESS PROPERTIES ST",
            "address_2": "SUITE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413125",
            "telephone_number": "859-224-9989",
            "fax_number": "606-877-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "MUNAWAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "38485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2346170",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.