Individual provider Active NPI

Masood A Siddiqui, DO

  • Diagnostic Radiology Physician
  • Northville, MI
National Provider Identifier
1902034663
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34.009573 Issued in OH
Practice address
16782 Brooklane Blvd
Northville, MI 48168-8420
Phone
(734) 502-5448
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0102207609 VA
Diagnostic Radiology Physician 2085R0202X 34.009573 OH Primary

Addresses

Primary practice location

16782 Brooklane Blvd
Northville, MI 48168-8420

Mailing address

22100 Bothell Everett Hwy
Bothell, WA 98021-8431
Phone (208) 416-2932

Other practice location 1

1215 Lee St
Charlottesville, VA 22908-8420
Phone (434) 924-9400

Other practice location 2

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, FL, TX, KY, VA, MD, NC, IN, NY10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20090807000482 OH Practitioner - Diagnostic Radiology 8022161371 Reassigns benefits to 4 organizations
I20150225002338 MI Practitioner - Diagnostic Radiology 8022161371 Reassigns benefits to 45 organizations
I20240117001754 FL Practitioner - Diagnostic Radiology 8022161371 Reassigns benefits to 2 organizations
I20241107004275 TX Practitioner - Diagnostic Radiology 8022161371 Reassigns benefits to 5 organizations
I20250109002858 KY Practitioner - Diagnostic Radiology 8022161371 Reassigns benefits to 2 organizations
I20250501001155 VA Practitioner - Diagnostic Radiology 8022161371 Reassigns benefits to 4 organizations
I20250519003722 MD Practitioner - Diagnostic Radiology 8022161371 Reassigns benefits to 1 organization
I20251017003030 NC Practitioner - Diagnostic Radiology 8022161371 Reassigns benefits to 1 organization
I20251023001026 IN Practitioner - Diagnostic Radiology 8022161371 Reassigns benefits to 1 organization
I20260428002261 NY Practitioner - Diagnostic Radiology 8022161371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Osteopathic Medicine, 2004
Medicare assignment
May accept Medicare assignment
Group practices
RFC Radiology Associates LLCGroup PAC ID 8022141894, 33 clinicians
KND Development 59 LLCGroup PAC ID 3678602802, shared by 22 NPIs, 176 clinicians
Eastern Radiological Associates PCGroup PAC ID 0345232732, 50 clinicians
Lucidsolutions IncGroup PAC ID 0749603462, 84 clinicians
Acadiana Radiology GroupGroup PAC ID 1355403114, 50 clinicians
Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians
Columbus Radiology Physicians LLCGroup PAC ID 3971863416, 56 clinicians
Hartsville Medical Group LLCGroup PAC ID 7012062714, 78 clinicians
Great Lakes Radiology ServicesGroup PAC ID 7113456831, 32 clinicians
Winchester Radiologists PCGroup PAC ID 7113915281, 77 clinicians
Wythe County Physician Practices LLCGroup PAC ID 7517972789, 45 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians
University of Louisville Physicians IncGroup PAC ID 3476725599, shared by 5 NPIs, 1,438 clinicians
Augusta Health Care IncGroup PAC ID 1355248212, 63 clinicians
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians
University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians

Practice addresses (Care Compare)

Northville, MI 48168
Phone (903) 663-4800

1550 1St Colony Blvd
Sugar Land, TX 77479-4000
Phone (281) 275-6000

16782 Brooklane Blvd
Northville, MI 48168-8420
Phone (406) 237-4341

2208 Yorktown Dr
Ann Arbor, MI 48105-1502
Phone (502) 852-5875

23 N Campus Dr
Suite 101
Fishersville, VA 22939-2469
Phone (540) 332-4400

2401 Southside Blvd
Greensboro, NC 27406-3311
Phone (336) 271-2800

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

301 W Expressway
Suite 83
McAllen, TX 78503-3045
Phone (956) 467-9552

3030 6TH S St
Saint Petersburg, FL 33705-3720
Phone (727) 894-8719

5 Garrett Ave
La Plata, MD 20646-5960
Phone (843) 237-3164

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-3000

707 S Edwin C Moses Blvd
Dayton, OH 45417-3462
Phone (937) 331-9265

729 W Ann Arbor TRL
Suite 2
Plymouth, MI 48170-6225
Phone (800) 475-6112

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 932-4075

8060 Knue Rd
Indianapolis, IN 46250-1976
Phone (317) 813-8900

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • Wythe County Community Hospital Hospital, Wytheville, VA, CCN 490111
  • Carolina Pines Regional Medical Center Hospital, Hartsville, SC, CCN 420010
  • Augusta Health Hospital, Fishersville, VA, CCN 490018
  • University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009573OHMDDiagnostic Radiology Physician
0102207609VAMDDiagnostic Radiology Physician
9935AZMDMedical Physician Assistant

Practice roles (60 of 97)

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc Diagnostic Radiology Current Accepting new patients
McLaren Medical Group Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Direct Radiology PLLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Somc Medical Care Foundation, Inc. Diagnostic Radiology CurrentSince Jul 12, 2010 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 13, 2023 Accepting new patients
Enloe Medical Center CurrentSince Jul 25, 2023 Accepting new patients
McLaren Central Michigan Current Accepting new patients
Hartsville Medical Group LLC CurrentSince Oct 12, 2025 Accepting new patients
CMSC, LLC CurrentSince Feb 5, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 13, 2023 Accepting new patients
Tennessee Valley Radiology LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Aug 23, 2024 Accepting new patients
McLaren Flint CurrentSince Aug 14, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 4, 2022 Accepting new patients
Jason L Hwang MD Inc Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Premier Imaging and Intervention, PLLC Diagnostic Radiology CurrentSince Aug 21, 2023 Accepting new patients
McLaren Flint Diagnostic Radiology CurrentSince Aug 14, 2025 Accepting new patients
Carilion Giles Community Hospital CurrentSince Oct 5, 2024 Accepting new patients
McLaren Central Michigan CurrentSince Aug 14, 2025 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Apr 20, 2025 Accepting new patients
Carilion Giles Community Hospital CurrentSince Oct 5, 2024 Accepting new patients
Diagnostic Imaging Associates Diagnostic Radiology CurrentSince Jul 2, 2023 Accepting new patients
Wythe County Physician Practices LLC Diagnostic Radiology CurrentSince Oct 10, 2025 Accepting new patients
RFC Radiology Associates LLC Diagnostic Radiology CurrentSince Jan 13, 2026 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
Acadiana Radiology Group Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
White Mountain Radiology Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Summit Radiology Services P C Diagnostic Radiology CurrentSince May 13, 2025 Accepting new patients
Augusta Health Care, Inc. Diagnostic Radiology CurrentSince Jun 3, 2025 Accepting new patients
Vesta Telemedicine Solutions, PLLC Diagnostic Radiology CurrentSince May 14, 2021 Accepting new patients
McLaren Bay Region CurrentSince Aug 14, 2025 Accepting new patients
MRI Imaging Center of Fresno, Inc CurrentSince Jul 10, 2025 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Mar 30, 2023 Accepting new patients
Uva Outpatient Imaging Culpeper, LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Winchester Radiologists PC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Oct 5, 2024 Accepting new patients
Augusta Medical Group CurrentSince Jun 3, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc. Diagnostic Radiology CurrentSince Aug 4, 2022 Accepting new patients
Augusta Health Care, Inc CurrentSince Jun 3, 2025 Accepting new patients
Augusta Medical Group CurrentSince Jun 3, 2025 Accepting new patients
McLaren Hospital Group Diagnostic Radiology CurrentSince Aug 28, 2025 Accepting new patients
Merit Radiology PLLC Diagnostic Radiology CurrentSince Mar 6, 2025 Accepting new patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
KND Development 59 LLC Current Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Intercity Radiology, PC CurrentSince Oct 1, 2022 Accepting new patients
KND Development 59, LLC CurrentSince Jul 1, 2025 Accepting new patients
KND Development 59 , LLC CurrentSince Jul 1, 2025 Accepting new patients
KND Development 59 LLC CurrentSince Jul 1, 2025 Accepting new patients
Great Lakes Radiology Services Diagnostic Radiology CurrentSince Jan 19, 2026 Accepting new patients
Carilion Medical Center CurrentSince Oct 5, 2024 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jun 2, 2025 Accepting new patients
Enloe Medical Center CurrentSince Jul 25, 2023 Accepting new patients
WRH Physicians, Inc. CurrentSince Dec 30, 2024 Accepting new patients
KND Development 59 LLC CurrentSince Jul 1, 2025 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jan 26, 2026 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Oct 10, 2024 Accepting new patients

Locations (25 of 116)

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone 4794529416101

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

4951 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 532-5848

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

2000 Stadium Way
Los Angeles, CA 90026
Phone (213) 202-6886

1300 N Vermont Ave
Ste 407
Los Angeles, CA 90027
Phone (323) 627-4874

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

323 S Heliotrope Ave
Monrovia, CA 91016
Phone (626) 408-9800

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

413 N Poplar Ave
Montebello, CA 90640
Phone (323) 725-4365

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

900 Mono Way
Sonora, CA 95370
Phone (209) 536-6925

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4
  • Direct secure messaging: msiddiqui317217@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 103

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.

View all 103

Hospital & facility affiliations 6

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1902034663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22100 BOTHELL EVERETT HWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218431",
            "telephone_number": "208-416-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16782 BROOKLANE BLVD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688420",
            "telephone_number": "734-502-5448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229088420",
            "country_code": "US",
            "telephone_number": "434-924-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Sudley Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104418",
            "country_code": "US",
            "telephone_number": "703-369-8073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MASOOD",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102207609",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.009573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.