Shahid K Siddiqui MD Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

G84465 Issued in CA

Legal business name

SHAHID K SIDDIQUI MD INC

Practice address

200 Jose Figueres Ave
Ste 320
San Jose, CA 95116-1500

Phone

(408) 926-8100

Fax

(408) 926-8103

NPI assigned

Mar 5, 2008

Last updated

Mar 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Habeeb M Awais

Title

Manager

Phone

(408) 844-9670

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIAACA

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.

• Shahid K Siddiqui, MD

  • Specialist
  • San Jose, CA
  • NPI 1922005636
  Medicare reassignment NPD

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1831369842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "STE 320",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-926-8100",
            "fax_number": "408-926-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "STE 320",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-926-8100",
            "fax_number": "408-926-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHID K SIDDIQUI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "AWAIS",
        "authorized_official_first_name": "HABEEB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-844-9670"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "G84465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebrahim Shahbazpour
• Michael Mohammed Shaheed, BA; MSW STUDENT
• Shabnam Nazrin Shaheed
• Sushma Shahi Sen
• Arpita Shahi, LMFT
• Shahida Mohammad, MD Inc (Evergreen Family Practice)
• Marjan Shahkarami, DDS
• Leila Shahnavaz, NP
• Shahram Ameripour DDS Inc.
• Fardis Shahrivar, MD

• Exclusive Provider Organization in San Jose, CA
• Providers in San Jose, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.