Active NPI
Cypress Signature Gastroenterology PLLC
- Gastroenterology Physician
- Cypress, TX
National Provider Identifier
1922588896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- CYPRESS SIGNATURE GASTROENTEROLOGY PLLC
- Practice address
- 27700 Northwest Fwy Ste 350
Cypress, TX 77433-7749 - Phone
- (346) 666-1616
- Fax
- (346) 666-6613
- NPI assigned
- Aug 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sameer Siddique, MD
- Title
- Managing Partner
- Phone
- (346) 666-6616
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
27700 Northwest Fwy Ste 350
Cypress, TX 77433-7749
Mailing address
27700 Northwest Fwy Ste 350
Cypress, TX 77433-7749
Phone (346) 666-6616
Other practice location 1
21212 Northwest Fwy Ste 205
Cypress, TX 77429-5885
Phone (346) 666-6616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 393569401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
410 W Grand Pkwy S
Ste B
Katy, TX 77494
Phone (346) 666-6616
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEDFBD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Cypress, TX
- NPI 1053544130
-
- Family Medicine Physician
- Cypress, TX
- NPI 1033740634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600646400000",
"number": "1922588896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27700 NORTHWEST FWY STE 350",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774337749",
"telephone_number": "346-666-6616",
"fax_number": "832-220-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27700 NORTHWEST FWY STE 350",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774337749",
"telephone_number": "346-666-1616",
"fax_number": "346-666-6613"
}
],
"practiceLocations": [
{
"address_1": "21212 Northwest Fwy Ste 205",
"address_purpose": "LOCATION",
"city": "Cypress",
"state": "TX",
"postal_code": "774295885",
"country_code": "US",
"telephone_number": "346-666-6616",
"fax_number": "832-220-6768",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CYPRESS SIGNATURE GASTROENTEROLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-20",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A",
"authorized_official_last_name": "SIDDIQUE",
"authorized_official_first_name": "SAMEER",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "346-666-6616",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "393569401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
- Cypress Pediatric Speech Therapy PLLC
- Cypress Physicians Group PLLC
- Cypress Pro Medical Group
- Cypress Rapidcare ER LLC
- Cypress Rosehill Family Dentistry, PLLC
- Cypress Smile Dental
- Cypress Spring Dentistry, PC
- Cypress Springs Family Care PLLC
- Cypress Springs Family Care-Pearland, PLLC
- Cypress Therapy and Counseling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.