Essa J. Sidiqi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301097385 Issued in MI

Practice address

33155 Annapolis St
Wayne, MI 48184-2405

Phone

(734) 467-2483

NPI assigned

Jul 19, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• River Valley Home Health Home health agency, Lake Havasu, AZ, CCN 037402
• Havasu Regional Medical Center Home Health Home health agency, Lake Havasu City, AZ, CCN 037057
• Foundation Home Health, LLC Home health agency, Lake Havasu City, AZ, CCN 037486
• Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
• La Paz Regional Hospital Hospital, Parker, AZ, CCN 031317

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lci8117@yourcarecommunity.org
• Direct secure messaging: essasidiqi@lhpc-az.direct.office.nextgen.com

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.

• Lake Havasu Primary Care PLLC

  • Internal Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1194116186
  Medicare reassignment NPD Authorized official
• Apogee Medical Group Inc

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1760652218
  Medicare reassignment NPD
• Institute for Male Health&Performance LLC

  • Family Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1609359983
  NPD (past) Authorized official
• Apogee Medical Group Inc

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1205883725
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arizona in-Home Partner-I, LLC

  • Home Health Agency
  • Lake Havasu City, AZ
  • NPI 1487190658
  Care Compare affiliation
• Foundation Home Health LLC

  • Home Health Agency
  • Lake Havasu City, AZ
  • NPI 1811402332
  Care Compare affiliation
• Havasu Regional Medical Center LLC

  • Rural Acute Care Hospital
  • Lake Havasu City, AZ
  • NPI 1780761866
  Care Compare affiliation
• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation
• La Paz Regional Hospital Inc

  • Critical Access Hospital
  • Parker, AZ
  • NPI 1053684555
  Care Compare affiliation
• La Paz Regional Hospital Inc., Dba Parker Podiatry

  • Podiatrist
  • Parker, AZ
  • NPI 1568875771

  Hospital

  Care Compare affiliation
• Mohave Healthcare, Inc.

  • Home Health Agency
  • Lake Havasu City, AZ
  • NPI 1578947842
  Care Compare affiliation

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1891008934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33155 ANNAPOLIS ST",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842405",
            "telephone_number": "734-467-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33155 ANNAPOLIS ST",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842405",
            "telephone_number": "734-467-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDIQI",
        "first_name": "ESSA",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301097385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Nicole Shelley
• Debbie Sherman, OT
• Jacqueline Shingleton, LLBSW
• Muhammed Shwehdi
• Nicole Julia Siara-Olds, D.D.S., M.S.
• Ranajit Sil, MD, PHD
• Damiaya Simmons
• Amanda Mary Simon
• Aaron Simpson, M.D.
• Robert Sims Sr., LBSW

• Family Medicine Physician in Wayne, MI
• Providers in Wayne, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.

Verify at the official NPI Registry.