Individual provider Active NPI

Zahida Siddiqi, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1811077258
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3828 Issued in TX
Practice address
12611 S Gessner Rd # B
Houston, TX 77071-2850
Phone
(713) 461-2915
Fax
(713) 461-5307
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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 L3828 TX Primary

Addresses

Primary practice location

12611 S Gessner Rd # B
Houston, TX 77071-2850

Mailing address

1615 N Main St
Houston, TX 77009-8525
Phone (713) 222-2272

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000428 TX Practitioner - Internal Medicine 5294725958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

8810 Antoine Dr
Houston, TX 77088-1626
Phone (346) 398-7181

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Village Family Practice, L.L.P Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Baylor College of Medicine Internal Medicine Past Accepting new patients

Locations

8810 Antoine Dr
Houston, TX 77088
Phone (346) 398-7181

4650 Westway Park Blvd
Ste 206
Houston, TX 77041
Phone (346) 980-2725

12611 S Gessner Rd
Ste B
Houston, TX 77071
Phone (346) 202-3492

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

12611 S Gessner Rd
#B
Houston, TX 77071

12611 S Gessner Rd
Houston, TX 77071
Phone (346) 202-3492

Interoperability endpoints

  • Direct secure messaging: zahida.siddiqi.1@13711.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1811077258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 N MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770098525",
            "telephone_number": "713-222-2272",
            "fax_number": "713-236-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 S GESSNER RD # B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770712850",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "ZAHIDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.