Active NPI
Naomi Siddiquee
- Internal Medicine Physician
- Austin, TX
National Provider Identifier
1780379743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 764931
- Practice address
- 1501 Red River St FL 2
Austin, TX 78712-1845 - Phone
- (512) 495-5555
- NPI assigned
- Apr 6, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 764931 | TX | Primary |
Addresses
Primary practice location
1501 Red River St FL 2
Austin, TX 78712-1845
Mailing address
225 N Jackson Ave
San Jose, CA 95116-1603
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240612004521 | TX | Order and Referring Only - Internal Medicine | 6901348358 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2900 Manor Rd
Apt 2254
Austin, TX 78722-1411
PO Box
Pasadena, CA 91189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 764931 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1780379743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 N JACKSON AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 RED RIVER ST FL 2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121845",
"telephone_number": "512-495-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUEE",
"first_name": "NAOMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-06",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "764931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.