Individual provider Active NPI

Sara K Siddiqui, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Austin, TX
National Provider Identifier
1902291271
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
S7789 Issued in TX
Practice address
7940 Shoal Creek Blvd Ste 100
Austin, TX 78757-7589
Phone
(512) 494-4000
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X S7789 TX Primary

Addresses

Primary practice location

7940 Shoal Creek Blvd Ste 100
Austin, TX 78757-7589

Mailing address

7940 Shoal Creek Blvd Ste 100
Austin, TX 78757-7589
Phone (512) 494-4000

Other practice location 1

4910 Mueller Blvd
Suite 300
Austin, TX 78723
Phone (512) 628-1855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220224001076 TX Practitioner - Neurology 2860755626 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S7789TXMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Subspecialists for Children PLLC Neurology With Special Qualifications in Child Neurology CurrentSince May 11, 2025 Accepting new patients
Houston Pediatric Neurology and Sleep PLLC Neurology With Special Qualifications in Child Neurology CurrentSince Dec 23, 2024 Accepting new patients

Locations

7940 Shoal Creek Blvd
Ste 100
Austin, TX 78757
Phone (512) 494-4000

701 N Post Oak Rd
Ste 330
Houston, TX 77024
Phone (713) 682-5995

13440 University Blvd
Ste 150
Sugar Land, TX 77479
Phone (281) 207-9191

Organizations & group practices 2

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1902291271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 SHOAL CREEK BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577589",
            "telephone_number": "512-494-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 SHOAL CREEK BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577589",
            "telephone_number": "512-494-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Mueller Blvd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78723",
            "country_code": "US",
            "telephone_number": "512-628-1855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SARA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "S7789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.