Individual provider Active NPI

Huma Jabeen Siddiqui, M.D.,

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1912960105
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M1349 Issued in TX
Practice address
8601 University East Drive
Charlotte, NC 28213
Phone
(704) 597-3500
NPI assigned
Apr 9, 2006
Last updated
Jun 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M1349 TX Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X M1349 TX

Addresses

Primary practice location

8601 University East Drive
Charlotte, NC 28213

Mailing address

8601 University East Drive
Charlotte, NC 28213
Phone (704) 597-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170222001987 NC Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6800088030

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1912960105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 UNIVERSITY EAST DRIVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28213",
            "telephone_number": "704-597-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 UNIVERSITY EAST DRIVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28213",
            "telephone_number": "704-597-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "HUMA",
        "middle_name": "JABEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-09",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1349",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "M1349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.