Individual provider Active NPI

Aisha Siddiqa, MD

  • Psychiatry Physician
  • Salisbury, MD
National Provider Identifier
1881145837
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0092934 Issued in MD
Practice address
809 Eastern Shore Dr
Salisbury, MD 21804-5934
Phone
(410) 205-6387
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MTL003543 DC
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X D0092934 MD Primary

Addresses

Primary practice location

809 Eastern Shore Dr
Salisbury, MD 21804-5934

Mailing address

5325 Nightshade Court
Columbia, MD 21045
Phone (443) 699-8624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20231229002427 MD Practitioner - Psychiatry 3870943046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Behavioral Health LLCGroup PAC ID 2567693849, 8 clinicians

Practice addresses (Care Compare)

809 Eastern Shore Dr
Salisbury, MD 21804-5934
Phone (877) 224-5264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MTL003543DCMDPsychiatry Physician
D0092934MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Behavioral Health, LLC CurrentSince Nov 22, 2023 Accepting new patients
Community Behavioral Health, LLC CurrentSince Nov 22, 2023 Accepting new patients
Community Behavioral Health, LLC Current Accepting new patients

Locations

426 Dorchester Ave
Cambridge, MD 21613
Phone (410) 228-3929

809 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 334-6687

817 Eastern Shore Dr
Salisbury, MD 21804

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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1881145837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 NIGHTSHADE COURT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "443-699-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045934",
            "telephone_number": "410-205-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQA",
        "first_name": "AISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MTL003543",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0092934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.