Active NPI
Nadeem S Siddiqui, MD MPH
- Occupational Medicine Physician
- Burton, MI
National Provider Identifier
1740492909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 4301072234
- Practice address
- 1460 N Center Rd
Burton, MI 48509-1429 - Phone
- (810) 715-4620
- Fax
- (810) 715-4602
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 4301072234 | MI | Primary |
Addresses
Primary practice location
1460 N Center Rd
Burton, MI 48509-1429
Mailing address
8186 Lark Brown Rd
Ste 201
Elkridge, MD 21075-6434
Phone (410) 730-3399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4375427 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesys Ambulatory Health Services, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
dba Genesys Urgent Care Center, Inc.
- Urgent Care Clinic/Center
- Burton, MI
- NPI 1740596444
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1740492909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8186 LARK BROWN RD",
"address_2": "STE 201",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756434",
"telephone_number": "410-730-3399",
"fax_number": "410-740-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 N CENTER RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485091429",
"telephone_number": "810-715-4620",
"fax_number": "810-715-4602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "NADEEM",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MI",
"license": "4301072234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4375427",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.