Mohammed Zahid Siddiqui, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Practice address

705 South Grand Avenue
Nashville, IL 62263-1534

Phone

(618) 327-2225

Fax

(618) 327-2229

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Internal Medicine

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Medical InstituteGroup PAC ID 6204204282, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Metro Medical Institute

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1043805229
  Medicare reassignment Care Compare group NPD
• Longevity Vein Clinic LLC

  • Internal Medicine Physician
  • Ballwin, MO
  • NPI 1033902994
  Medicare reassignment NPD
• Abid Nisar

  • Hematology & Oncology Physician
  • Granite City, IL
  • NPI 1346350808
  NPD (past)
• Excel Care Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
  • NPI 1437328572
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730115973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 POLO DOWNS DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178358",
            "telephone_number": "636-891-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SOUTH GRAND AVENUE",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631534",
            "telephone_number": "618-327-2225",
            "fax_number": "618-327-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MOHAMMED",
        "middle_name": "ZAHID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rice, PTA
• Rodney a. Small, D.C. LTD
• Megan Rohlfing, MSCCC-SLP
• Alicia Erin Santel, FNP-C
• Sabrina Ann Schack, OD
• Sandra Kay Simmons, MS CCC-SLP
• Savanah Sinn, PTA
• John Paul Skorczeski, DMD
• Rodney Alan Small, D.C.
• Marisa Smith, DC

• Medical Oncology Physician in Nashville, IL
• Providers in Nashville, IL by specialty
• Medical Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.