Mohammad S Siddiqui MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOHAMMAD S SIDDIQUI MD INC

Practice address

4500 Mary Jane Ter
Glen Allen, VA 23059-2401

Phone

(804) 441-9000

Fax

(804) 522-1533

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Mohammad Sayeed Siddiqui, MDNPI 1982743993

Title

Owner

Phone

(804) 441-9000

Specialties & licenses 1

Addresses

Other names 1

• Mohammad S Siddiqui MD INC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammad Siddiqui, MD

  • Family Medicine Physician
  • Williamsburg, VA
  • NPI 1982743993
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1851145080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MARY JANE TER",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592401",
            "telephone_number": "703-991-3009",
            "fax_number": "804-522-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MARY JANE TER",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592401",
            "telephone_number": "804-441-9000",
            "fax_number": "804-522-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD S SIDDIQUI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "SAYEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-441-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohammad S Siddiqui MD INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mohammad S Siddiqui MD INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miraja MD PA Inc
• Tyler Jakob Miranda
• Missouri Gateway Health, LLC
• MJ Babik DDS and Associates LTD
• Stephanie A Mock, CPHT
• Karolina Mohler, APRN
• Ali A Mollah, M.D.
• Heba Momin, PT
• Emily Montaigne
• Melissa Montgomery

• Family Medicine Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.