Individual provider Active NPI

Saba Siddiqi, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1710088588
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0041496 Issued in MD
Practice address
9106 Philadelphia Rd
Suite 204
Baltimore, MD 21237-4329
Phone
(410) 687-8777
Fax
(410) 687-1756
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0041496 MD Primary

Addresses

Primary practice location

9106 Philadelphia Rd
Suite 204
Baltimore, MD 21237-4329

Mailing address

PO Box 426
Riderwood, MD 21139-0426
Phone (410) 687-8777

Other identifiers 1

IdentifierTypeStateIssuer
306371200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20040128000438 MD Practitioner - Internal MedicinePractitioner - General Practice 4981507043 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0041496MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saba Siddiqi MD PA Internal Medicine CurrentSince Dec 9, 2013 Accepting new patients
Saba Siddiqi MD PA PastSince Jan 1, 1990 Accepting new patients

Locations

9106 Philadelphia Rd
Ste 204
Rosedale, MD 21237
Phone (410) 687-8777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAGHBA

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710088588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "RIDERWOOD",
            "state": "MD",
            "postal_code": "211390426",
            "telephone_number": "410-687-8777",
            "fax_number": "410-687-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374329",
            "telephone_number": "410-687-8777",
            "fax_number": "410-687-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "SABA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0041496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306371200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.