Individual provider Active NPI

Kamran Anis Siddiqui, MD

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1801206396
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
303867-01 Issued in NY
Practice address
27111 76TH Ave
New Hyde Park, NY 11040-1423
Phone
(609) 585-1122
Fax
(609) 585-0309
NPI assigned
May 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 303867-01 NY Primary
Hospitalist Physician 208M00000X 25MA10065200 NJ

Addresses

Primary practice location

27111 76TH Ave
New Hyde Park, NY 11040-1423

Mailing address

2199 Jackson PL
North Bellmore, NY 11710-1104
Phone (516) 757-4300

Other identifiers 1

IdentifierTypeStateIssuer
07969193MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231103001313 NY Practitioner - Internal Medicine 3678831831 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Symphony Medical PCGroup PAC ID 5890916068, 55 clinicians

Practice addresses (Care Compare)

967 N Broadway
Yonkers, NY 10701-1301
Phone (800) 513-3044

Hospital & facility affiliations

  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303867-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Medical Care PC Internal Medicine CurrentSince Sep 24, 2023 Accepting new patients
First Docs PC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Symphony Medical PC CurrentSince Feb 1, 2025 Accepting new patients
Symphony Medical PC Hospitalist CurrentSince Feb 1, 2025 Accepting new patients
Mercer Bucks Medical Associates, P.C. Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Symphony Medical PC Past Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

967 N Broadway
#4
Yonkers, NY 10701

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1801206396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 JACKSON PL",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101104",
            "telephone_number": "516-757-4300",
            "fax_number": "609-585-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27111 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401423",
            "telephone_number": "609-585-1122",
            "fax_number": "609-585-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "KAMRAN",
        "middle_name": "ANIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "303867-01",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA10065200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07969193",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.