Active NPI
Huma Jabeen Siddiqui, M.D.,
- Internal Medicine Physician
- Charlotte, NC
National Provider Identifier
1912960105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M1349
- Practice address
- 8601 University East Drive
Charlotte, NC 28213 - Phone
- (704) 597-3500
- NPI assigned
- Apr 9, 2006
- Last updated
- Jun 8, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170222001987 | NC | Order and Referring Only - 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
- Kristen Ann Sibson, MD
- Michael W Sicard, M.D.
- Erin Parsons Siceloff, PA-C
- Sickle Cell Disease Assoc. Southern Piedmont, Inc. (Sickle Cell Regional Network)
- Abubaker Siddig
- Side by Side Senior Services LLC
- Krista K. Sidell, NP
- Jaskiran Kaur Sidhu
- Rebecca Marie Sidlovsky, PT, DPT
- Alena Nicole Sidwell, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.