Organization Active NPI

T. Siddiqi, M.D., P.C.

  • Family Medicine Physician
  • Adrian, MI
National Provider Identifier
1811037724
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TS069384 Issued in MI
Legal business name
T. SIDDIQI, M.D., P.C.
Practice address
755 High St
Adrian, MI 49221-1442
Phone
(517) 265-2175
Fax
(517) 264-5926
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Ms. Verlie James
Title
Office Manager
Phone
(517) 265-2176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X TS069384 MI Primary

Addresses

Primary practice location

755 High St
Adrian, MI 49221-1442

Mailing address

755 High St
Adrian, MI 49221-1442
Phone (517) 265-2175

Other identifiers 1

IdentifierTypeStateIssuer
4594755MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1811037724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 HIGH ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211442",
            "telephone_number": "517-265-2175",
            "fax_number": "517-264-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 HIGH ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211442",
            "telephone_number": "517-265-2175",
            "fax_number": "517-264-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. SIDDIQI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "VERLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-265-2176",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "TS069384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4594755",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.