Muhammed K. Siddiqui, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

19496 Issued in AL

Practice address

119 Stephen J White Memorial Blvd
Talladega, AL 35160-2106

Phone

(256) 268-7775

Fax

(256) 268-7760

NPI assigned

Sep 24, 2006

Last updated

Sep 26, 2023By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msiddiqui2047@baptisthealthaldirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Clinic Pediatric and Adolescent Medicine

  • Pediatric Adolescent Medicine Physician
  • Talladega, AL
  • NPI 1154810224
  NPD Authorized official
• KC Munford Family Care

  • Family Medicine Physician
  • Munford, AL
  • NPI 1578189510
  Authorized official Same address or phone
• Baptist Health Centers, LLC

  dba Baptist Health Medical Group

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1750481305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 STEPHEN J WHITE MEMORIAL BLVD",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602106",
            "telephone_number": "256-268-7775",
            "fax_number": "256-268-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 STEPHEN J WHITE MEMORIAL BLVD",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602106",
            "telephone_number": "256-268-7775",
            "fax_number": "256-268-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MUHAMMED",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "19496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000032739",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "32739",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarrell Regional Optical Center
• Candace Scearce
• Joseph Anthony Schnorbus, O.D.
• Cody A Shields, PHARMD
• Elizabeth Shirk, PMHNP-BC
• Nukeysha Lafay Sillmon, REGISTERED NURSE
• Jorgi Amelia Sims, PTA
• Smart Care, LLC
• William Phillip Smith, M.D.
• Amanda Twilley Snyder, LPC

• Pediatrics Physician in Talladega, AL
• Providers in Talladega, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.