Active NPI
Imran A. Siddiqui, M.D.
- Internal Medicine Physician
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L9908
- Practice address
- 2401 S 31St St
Temple, TX 76508-0001 - Phone
- (254) 724-2111
- NPI assigned
- Apr 3, 2006
- Last updated
- Jul 11, 2007
- Sex
- Male
- 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 | L9908 | TX | Primary |
Addresses
Primary practice location
2401 S 31St St
Temple, TX 76508-0001
Mailing address
PO Box 847408
Dallas, TX 75284-7408
Phone (254) 724-2111
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1672578-01 | Medicaid | TX | |
| 1672578-01 | Other | TX | CSHCN |
| 8P1484 | Other | TX | BLUE SHIELD |
| P00194565 | Other | TX | RR/MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10019 Main St
A1
Houston, TX 77025-5257
Phone (713) 666-7000
10019 S Main St
Suite A1
Houston, TX 77025-5257
4308 Allenbrook Dr
Baytown, TX 77521-3200
Phone (254) 493-0814
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simcare, PLLC | Internal Medicine | Current | Accepting new patients |
| Faiza Tahir MD PA | Current | Accepting new patients | |
| Baytown Internal Medicine Associates PLLC | Internal Medicine | Current | Accepting new patients |
| TMC Physicians | Internal Medicine | Current | Accepting new patients |
| Busybody Fitness & Rehab, PLLC | Past | Accepting new patients |
Locations
150 Blue Heron Pkwy
Baytown, TX 77521
Phone (281) 724-5442
1626 W Baker Rd
Baytown, TX 77521
Phone (281) 628-7300
4201 Garth Rd
Baytown, TX 77521
Phone (281) 420-8600
4308 Allenbrook Dr
Baytown, TX 77521
Phone (254) 493-0814
4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500
6051 Garth Rd
Ste 1100
Baytown, TX 77521
Phone (346) 642-6891
10019 Main St
Ste A1
Houston, TX 77025
Phone (713) 666-7000
15149 Wallisville Rd
Houston, TX 77049
Phone (832) 400-2396
3801 Vista Rd
Ste 180
Pasadena, TX 77504
Phone (713) 359-2273
4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
4801 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 991-5463
3129 Kingsley Dr
Ste 410
Pearland, TX 77584
Phone (281) 997-7333
2225 Williams Trace Blvd
Ste 110
Sugar Land, TX 77478
Phone (281) 491-1911
6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537
350 Blossom St
Webster, TX 77598
Phone (281) 316-7800
500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650
709 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-8070
Interoperability endpoints
- isiddiqui66792@memorialhermann.direct-ci.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1912241753
-
- Internal Medicine Physician
- Baytown, TX
- NPI 1881375459
-
- Internal Medicine Physician
- Sugar Land, TX
- NPI 1023508504
-
- Orthopedic Physical Therapist
- Houston, TX
- NPI 1679017776
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Houston, TX
- NPI 1558452250
-
dba Signature Health Services
- Home Health Agency
- Baytown, TX
- NPI 1548319288
-
dba MHHS NW Radiation Therapy
- Radiology Clinic/Center
- Houston, TX
- NPI 1013948553
Hospital
-
dba MHHS Woodlands Outpatient Imaging System
- Radiology Clinic/Center
- The Woodlands, TX
- NPI 1275564858
Hospital
-
dba Memorial Hermann Outpatient Imaging-Southwest
- Radiology Clinic/Center
- Houston, TX
- NPI 1407959448
Hospital
-
dba Mhhs Hermann Outpatient Imaging Center
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
dba MHHS Friendswood Imaging
- Radiology Clinic/Center
- Friendswood, TX
- NPI 1508896267
Hospital
-
dba MHHS Pearland Outpatient Imaging Center
- Radiology Clinic/Center
- Pearland, TX
- NPI 1669402335
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
dba Memorial Hermann Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
-
dba Houston Methodist Baytown Hospital
- General Acute Care Hospital
- Baytown, TX
- NPI 1891789772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1821050238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847408",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847408",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765080001",
"telephone_number": "254-724-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "IMRAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L9908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1672578-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "1672578-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "8P1484",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR/MEDICARE",
"identifier": "P00194565",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.