Individual provider Active NPI

Seemeen Siddiqi, M.D.

  • Internal Medicine Physician
  • Apache Junction, AZ
National Provider Identifier
1780671537
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27889 Issued in AZ
Practice address
2050 W Southern Ave
Apache Junction, AZ 85120-7305
Phone
(602) 467-4757
Fax
(602) 371-4960
NPI assigned
Oct 5, 2005
Last updated
Sep 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27889 AZ Primary

Addresses

Primary practice location

2050 W Southern Ave
Apache Junction, AZ 85120-7305

Mailing address

PO Box 11850
Chandler, AZ 85248-0015
Phone (602) 467-4757

Other identifiers 2

IdentifierTypeStateIssuer
ZWDCFLOtherAZGROUP PTAN
480103MedicaidAZ

Other names 1

  • Seemeen Khawaja Other name

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

OrganizationSpecialtyStatusNew patients
Innovative Health Partners LLC PastSince Mar 1, 2010 Accepting new patients
Prodigee Inpatient Physicians Group, P.L.L.C. Past Accepting new patients
Gregg Smith D.O., P.C. Past Accepting new patients
Advanced Cardiac Specialists, Chartered Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1780671537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11850",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480015",
            "telephone_number": "602-467-4757",
            "fax_number": "602-371-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W SOUTHERN AVE",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851207305",
            "telephone_number": "602-467-4757",
            "fax_number": "602-371-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "SEEMEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "27889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "ZWDCFL",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "480103",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEEMEEN",
            "last_name": "KHAWAJA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.