Individual provider Active NPI

Imran Tauhid Siddiqui

  • Vascular & Interventional Radiology Physician
  • Baltimore, MD
National Provider Identifier
1750743787
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
D84707 Issued in MD
Practice address
900 S Caton Ave
Baltimore, MD 21229-5201
Phone
(667) 234-6000
NPI assigned
Mar 29, 2016
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X D84707 MD Primary
Diagnostic Radiology Physician 2085R0202X 0101285480 VA
Diagnostic Radiology Physician 2085R0202X D84707 MD

Addresses

Primary practice location

900 S Caton Ave
Baltimore, MD 21229-5201

Mailing address

900 S Caton Ave Dept of
Baltimore, MD 21229-5201
Phone (667) 234-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230703001025 MD Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5496114878 Reassigns benefits to 7 organizations
I20240201001939 DC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5496114878 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Georgetown University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

3001 S Hanover St
Suite 300
Baltimore, MD 21225-1233
Phone (410) 354-5240

3887 Sugarloaf Pkwy
Frederick, MD 21704-7885
Phone (480) 306-6949

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-3120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D84707MDMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince Jun 30, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Meritus Medical Center Inc Diagnostic Radiology CurrentSince May 30, 2025 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Medstar Medical Group Radiology, LLC Diagnostic Radiology CurrentSince Jan 23, 2024 Accepting new patients
Meritus Medical Center Inc CurrentSince May 30, 2025 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Dec 18, 2024 Accepting new patients
Professional Services of Holy Cross CurrentSince Feb 3, 2025 Accepting new patients
Professional Services of Holy Cross CurrentSince Feb 3, 2025 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Nov 1, 2024 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
St Agnes Healthcare Inc Diagnostic Radiology CurrentSince Jun 30, 2023 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Nov 1, 2024 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Nov 8, 2025 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jan 14, 2026 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

3449 Wilkens Ave
#S102
Baltimore, MD 21229
Phone (667) 234-3120

3449 Wilkens Ave
Ste 102
Baltimore, MD 21229
Phone (667) 234-8675

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3001 S Hanover St
Ste 300
Brooklyn, MD 21225
Phone (410) 350-2663

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

3585 Washington Blvd
Halethorpe, MD 21227

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870

3811 Fairfax Dr
Ste 300
Arlington, VA 22203

Interoperability endpoints

  • Direct secure messaging: imran.siddiquimd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1750743787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S CATON AVE DEPT OF",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "667-234-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "667-234-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "IMRAN",
        "middle_name": "TAUHID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D84707",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101285480",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D84707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.