Active NPI
Masood A Siddiqui, DO
- Diagnostic Radiology Physician
- Northville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 34.009573
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
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
- KND Development 59 LLCUniversity of Louisville Physicians Inc
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
- Wythe County Community Hospital
- Carolina Pines Regional Medical Center
- Augusta Health
- University of MD Charles Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.009573 | OH | MD | Diagnostic Radiology Physician |
| 0102207609 | VA | MD | Diagnostic Radiology Physician |
| 9935 | AZ | MD | Medical Physician Assistant |
Practice roles (60 of 97)
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Direct Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| Hartsville Medical Group LLC | Current | Accepting new patients | |
| CMSC, LLC | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Tennessee Valley Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| McLaren Flint | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Jason L Hwang MD Inc | Diagnostic Radiology | Current | Accepting new patients |
| Premier Imaging and Intervention, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| McLaren Flint | Diagnostic Radiology | Current | Accepting new patients |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| Angelina Diagnostic Radiology Associates | Diagnostic Radiology | Current | Accepting new patients |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Diagnostic Imaging Associates | Diagnostic Radiology | Current | Accepting new patients |
| Wythe County Physician Practices LLC | Diagnostic Radiology | Current | Accepting new patients |
| RFC Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Acadiana Radiology Group | Diagnostic Radiology | Current | Accepting new patients |
| White Mountain Radiology | Diagnostic Radiology | Current | Accepting new patients |
| Summit Radiology Services P C | Diagnostic Radiology | Current | Accepting new patients |
| Augusta Health Care, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Vesta Telemedicine Solutions, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| McLaren Bay Region | Current | Accepting new patients | |
| MRI Imaging Center of Fresno, Inc | Current | Accepting new patients | |
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Uva Outpatient Imaging Culpeper, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Winchester Radiologists PC | Diagnostic Radiology | Current | Accepting new patients |
| Carilion Tazewell Community Hospital | Current | Accepting new patients | |
| Augusta Medical Group | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Augusta Health Care, Inc | Current | Accepting new patients | |
| Augusta Medical Group | Current | Accepting new patients | |
| McLaren Hospital Group | Diagnostic Radiology | Current | Accepting new patients |
| Merit Radiology PLLC | Diagnostic Radiology | Current | 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 | Current | Accepting new patients |
| Intercity Radiology, PC | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| KND Development 59 , LLC | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| Great Lakes Radiology Services | Diagnostic Radiology | Current | Accepting new patients |
| Carilion Medical Center | Current | Accepting new patients | |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Enloe Medical Center | Current | Accepting new patients | |
| WRH Physicians, Inc. | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Riverside Radiology and Interventional Associates Inc | Diagnostic Radiology | Current | 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
- https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4
- msiddiqui317217@direct.hfhs.org
- 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.
-
- Diagnostic Radiology Physician
- Plymouth, MI
- NPI 1891529111
-
- Family Medicine Physician
- Lapeer, MI
- NPI 1346396066
-
- Diagnostic Radiology Physician
- Fishersville, VA
- NPI 1720717044
-
- General Practice Physician
- Fishersville, VA
- NPI 1245489590
-
- Diagnostic Ultrasound Physician
- Billings, MT
- NPI 1639102171
Diagnostic Radiology, MI
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
MI
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
-
- General Acute Care Hospital
- Fishersville, VA
- NPI 1053301127
-
- Rural Acute Care Hospital
- La Plata, MD
- NPI 1992701825
-
- General Acute Care Hospital
- Hartsville, SC
- NPI 1174500458
-
- Rural Acute Care Hospital
- Wytheville, VA
- NPI 1184706152
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.