Adila Nighat Siddiqi, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K7396 Issued in TX

Practice address

2771 Sherman Dr #a
Grand Prairie, TX 75051-1027

Phone

(972) 647-0550

Fax

(972) 647-1010

NPI assigned

Nov 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family PracticeAlso: Geriatric Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• DFW Family Clinic

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1811228851
  Medicare reassignment NPD Authorized official
• DFW Family Clinic

  • Medical Physician Assistant
  • Grand Prairie, TX
  • NPI 1962881441
  NPD Authorized official

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1932180296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 SHERMAN DR #A",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511027",
            "telephone_number": "972-647-0550",
            "fax_number": "972-647-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 SHERMAN DR #A",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511027",
            "telephone_number": "972-647-0550",
            "fax_number": "972-647-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "ADILA",
        "middle_name": "NIGHAT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PCP PROVIDER#",
            "identifier": "0076EC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121398502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Babatunde T Shittu, NP
• Emily Ann Short, COTA
• Si Medical Equipment Services LLC
• Mannah John Siafa, RN
• Siddig Izzeldin Siddig
• Shawn Siddiqi
• Sameen Rab Siddiqui
• Luis Sierra-Nieves, P.A.C.
• Signage Health Care Services, Inc
• Lyvonne Greene- Simington, HCS-PROVIDER

• Family Medicine Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.

Verify at the official NPI Registry.