NPIMap

Individual provider Active NPI

Farhan Siddiq, M.D.

  • Neurological Surgery Physician
  • Columbia, MO
National Provider Identifier
1740472745
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA09628200 Issued in NJ
Practice address
1 Hospital Drive
Columbia, MO 65212
Phone
(573) 882-4908
Fax
(573) 884-5184
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2018027432 MO
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 25MA09628200 NJ
Neurological Surgery Physician 207T00000X 25MA09628200 NJ Primary
Neurological Surgery Physician 207T00000X Q6468 TX
Neurology Physician 2084N0400X Q6468 TX

Addresses

Primary practice location

1 Hospital Drive
Columbia, MO 65212

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Other practice location 1

1325 Pennsylvania Ave Ste 890
Fort Worth, TX 76104-2145
Phone (817) 250-4280

Other practice location 2

1325 Pennsylvania Ave Ste 890
Fort Worth, TX 76104-2145
Phone (817) 250-4280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180816001052 MO Practitioner - NeurosurgeryPractitioner - Neurology 7214006618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: Neurology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion87
Laminectomy or laminotomy (partial removal of spine bones)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q6468TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad a Shah, MD PC Neurological Surgery CurrentSince Nov 1, 2020 Accepting new patients
Anasthesia Pain Service PC CurrentSince Sep 13, 2020 Accepting new patients
Bronson Methodist Hospital Neurological Surgery CurrentSince Jul 26, 2020 Accepting new patients
Jawad a Shah MD PC CurrentSince Nov 1, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 1, 2018 Accepting new patients
Curators of the University of Missouri CurrentSince Dec 21, 2018 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 1, 2018 Accepting new patients
The Curators of the University of Missouri CurrentSince Dec 21, 2018 Accepting new patients
Boone Physician Services, LLC CurrentSince May 8, 2020 Accepting new patients
United Hospital District Inc. Past Accepting new patients
United Hospital District Inc. PastSince Oct 31, 2021 Accepting new patients
Curators of the University of Missouri Past Accepting new patients

Locations

15350 Michigan Ave
Dearborn, MI 48126

4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

1 Hospital Dr
Columbia, MO 65201
Phone (573) 882-2568

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Organizations & group practices 12

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 9

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1740472745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DRIVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65212",
            "telephone_number": "573-882-4908",
            "fax_number": "573-884-5184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Pennsylvania Ave Ste 890",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042145",
            "country_code": "US",
            "telephone_number": "817-250-4280",
            "fax_number": "817-250-4281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Pennsylvania Ave Ste 890",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042145",
            "country_code": "US",
            "telephone_number": "817-250-4280",
            "fax_number": "817-250-4281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQ",
        "first_name": "FARHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2018027432",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "NJ",
            "license": "25MA09628200",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA09628200",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "Q6468",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q6468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.