Jawed H. Siddiqui, M.D.

Individual provider Active NPI Internal Medicine Physician · Florissant, MO

NPI 1699705293 · NPPES record last updated Jun 20, 2008

Key facts

NPI
1699705293
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
R6047 (MO)
Practice address
11115 New Halls Ferry Rd
Suites 301-302
Florissant, MO 63033-7613
Phone
(314) 921-6200
Fax
(314) 830-0756
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 22

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.

Hospital & facility affiliations 3

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

Medicare Care Compare profile

Specialty
Internal Medicine
Also: Cardiovascular Disease (Cardiology)
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLC (433 clinicians)
The Health Centers PC (5 clinicians)
JN Wellness Inc (4 clinicians)

Practice addresses (Care Compare)

11115 New Halls Ferry Rd
Suite 105
Florissant, MO 63033-7610
Phone (314) 921-6200

1441 Charic Dr
Wildwood, MO 63021-2001
Phone (636) 394-2522

2621 Raymond Dr
Saint Charles, MO 63301-4872
Phone (636) 946-2244

4225 Bayless Ave
Saint Louis, MO 63123-7513
Phone (314) 544-5600

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital · Saint Louis, MO · CCN 260020
  • Bria of Godfrey Nursing home · Godfrey, IL · CCN 145656

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MO, IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040701000288 MO Practitioner - Internal Medicine
Practitioner - Cardiovascular Disease (Cardiology)
5799762415 Reassigns benefits to 8 organizations
I20081125000761 IL Practitioner - Internal Medicine
Practitioner - Cardiovascular Disease (Cardiology)
Practitioner - Geriatric Medicine
5799762415 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-056278ILMDInternal Medicine Physician
R6047MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC Internal Medicine Current
since Jul 1, 2024
Accepting new patients
The Health Centers, P.C. Current
since Feb 27, 2017
Accepting new patients
Metro Medical North County LLC Internal Medicine Current
since Jan 6, 2026
Accepting new patients
Metro Cardiovascular, Inc. Internal Medicine Current
since Jul 1, 2007
Accepting new patients
Altea Medical Missouri LLC Internal Medicine Current
since Jul 7, 2024
Accepting new patients
Metro Medical Institute Current
since Aug 10, 2022
Accepting new patients
Altea Medical Illinois PLLC Internal Medicine Current
since Jul 5, 2025
Accepting new patients
JN Wellness Inc Current
since Oct 27, 2020
Accepting new patients
St Louis Medical Center Inc Current
since Jan 14, 2019
Accepting new patients
Clinical Medical Services LLC Internal Medicine Current
since Nov 1, 2025
Accepting new patients
Dr. David a Sciortino, LTD Current
since Jan 14, 2019
Accepting new patients
Charic Dr Healthcare LLC Past Accepting new patients
Bermuda Drive Healthcare LLC Past Accepting new patients
Medical Care LLC Past Accepting new patients
Altea Medical Alaska LLC Internal Medicine Past Accepting new patients
Midwest Laboratory Services LLC Past
since May 5, 2016
Accepting new patients
Redman Rd Healthcare LLC Past Accepting new patients
Clayton Road Healthcare LLC Past Accepting new patients
Clay Street Healthcare LLC Past Accepting new patients
Saint Louis Connectcare Past Accepting new patients
Aim Xpress Medical Care LLC Past
since Sep 15, 2009
Accepting new patients
McCutchen Rd Healthcare LLC Past Accepting new patients

Locations (25 of 30)

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

205 Bailey Ln
Benton, IL 62812
Phone (618) 435-8189

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

3116 State St
#2
East Saint Louis, IL 62205
Phone (618) 857-2111

1101 E State St
Geneva, IL 60134
Phone (630) 208-1876

2044 Madison Ave
Ste G2
Granite City, IL 62040
Phone (314) 549-8494

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

14 Park Pl
Ste B
Swansea, IL 62226
Phone (314) 685-8721

12174 Natural Bridge Rd
Bridgeton, MO 63044
Phone (314) 481-3037

11115 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 283-0976

11115 New Halls Ferry Rd
Ste 300
Florissant, MO 63033
Phone (314) 395-8927

11115 New Halls Ferry Rd
#301302
Florissant, MO 63033
Phone (314) 921-6200

11115 New Halls Ferry Rd
Ste Suites
Florissant, MO 63033

11115 New Halls Ferry Rd
Ste 105
Florissant, MO 63033
Phone (314) 499-6060

11115 New Halls Ferry Rd
Ste 201
Florissant, MO 63033
Phone (314) 283-3393

11115 New Halls Ferry Rd
Ste 301
Florissant, MO 63033
Phone (314) 921-6200

430 N West St
Perryville, MO 63775
Phone (273) 547-1011

2621 Raymond Dr
Saint Charles, MO 63301
Phone (636) 946-2244

4225 Bayless Ave
Saint Louis, MO 63123
Phone (314) 544-5600

777 Craig Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 549-8494

4116 Von Talge Rd
Ste B
Saint Louis, MO 63128
Phone (314) 822-5175

3535 S Jefferson Ave
Saint Louis, MO 63118
Phone (314) 260-9560

777 Craig Rd
Ste 135A
Saint Louis, MO 63141
Phone (314) 453-9300

7721 Clayton Rd
Saint Louis, MO 63117
Phone (314) 546-6072

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R6047 MO Yes
Internal Medicine Physician 207R00000X 036-056278 IL

Addresses

Primary practice location

11115 New Halls Ferry Rd
Suites 301-302
Florissant, MO 63033-7613

Mailing address

1415 Topping Rd
Saint Louis, MO 63131-1424
Phone (314) 984-9213

Other identifiers

IdentifierTypeStateIssuer
110125678OtherMORAILROAD MEDICARE
7040870018MedicaidIL
200668739MedicaidMO

Other providers in Florissant, MO

All providers in Florissant, MO · Internal Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.