Individual provider Active NPI

Naveed Siddique, MD

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1831282706
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301070795 Issued in MI
Practice address
4600 E 14 Mile Rd
Suite 1
Warren, MI 48092-4369
Phone
(586) 274-3400
Fax
(586) 274-3411
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301070795 MI Primary

Addresses

Primary practice location

4600 E 14 Mile Rd
Suite 1
Warren, MI 48092-4369

Mailing address

4600 E 14 Mile Rd
Suite 1
Warren, MI 48092-4369
Phone (586) 274-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050105000893 MI Practitioner - Family Practice 8325096431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4600 E 14 Mile Rd
Suite 1
Warren, MI 48092-4369
Phone (586) 274-3400

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301070795MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Clinic and Urgent Care PC Family Medicine CurrentSince Mar 1, 2014 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Bloomfield Medical Center PLC Family Medicine Past Accepting new patients
Dennis J. Pierson, M.D., Inc. Family Medicine Past Accepting new patients

Locations

4600 E 14 Mile Rd
Ste 1
Warren, MI 48092
Phone (586) 274-3400

4600 E 14 Mile Rd
Ste S1
Warren, MI 48092

Interoperability endpoints

  • Direct secure messaging: nsiddique314656@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4
  • Direct secure messaging: siddique.naveed.006.0220065@ucuc.meditab.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1831282706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 E 14 MILE RD",
            "address_2": "SUITE 1",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924369",
            "telephone_number": "586-274-3400",
            "fax_number": "586-274-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E 14 MILE RD",
            "address_2": "SUITE 1",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924369",
            "telephone_number": "586-274-3400",
            "fax_number": "586-274-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "NAVEED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301070795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.