Individual provider Active NPI

Sarah Siddiqi, MD

  • Family Medicine Physician
  • Carrollton, TX
National Provider Identifier
1730470147
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P9257 Issued in TX
Practice address
1601 W Hebron Pkwy Ste 100
Carrollton, TX 75010-6342
Phone
(972) 426-8675
Fax
(972) 492-4694
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49058 AZ
Family Medicine Physician 207Q00000X P9257 TX Primary

Addresses

Primary practice location

1601 W Hebron Pkwy Ste 100
Carrollton, TX 75010-6342

Mailing address

1601 W Hebron Pkwy Ste 100
Carrollton, TX 75010-6342
Phone (972) 426-8675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160504002674 TX Practitioner - Family Practice 1759509383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VMD Primary Providers North Texas PLLCGroup PAC ID 2769896190, 20 clinicians

Practice addresses (Care Compare)

901 Legacy Dr
Plano, TX 75023-8202
Phone (214) 257-8893

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49058AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Texas Emergency Physicians PLLC CurrentSince Jul 1, 2018 Accepting new patients

Locations

8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400

Interoperability endpoints

  • Direct secure messaging: sarah.siddiqi.1@13711.direct.athenahealth.com
  • Direct secure messaging: sarah.siddiqi.1@18481.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1730470147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W HEBRON PKWY STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106342",
            "telephone_number": "972-426-8675",
            "fax_number": "972-492-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W HEBRON PKWY STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106342",
            "telephone_number": "972-426-8675",
            "fax_number": "972-492-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "SARAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "49058",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P9257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.