Active NPI
Mustafa Siddiq
- Neurological Surgery Physician
- Cleveland, OH
National Provider Identifier
1942090006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 57.257951
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-0001 - Phone
- (330) 760-9886
- NPI assigned
- May 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 57.257951 | OH | Primary |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
Emik Dotan 23, Ramat Gan
Ramat Gan, TEL AVIV 5262660
IL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20250716003085 | OH | Order and Referring Only - Neurosurgery | 4981119021 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746835200000",
"number": "1942090006",
"addresses": [
{
"country_code": "IL",
"country_name": "Israel",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "EMIK DOTAN 23, RAMAT GAN",
"city": "RAMAT GAN",
"state": "TEL AVIV",
"postal_code": "5262660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "330-760-9886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQ",
"first_name": "MUSTAFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-10",
"last_updated": "2025-05-10",
"certification_date": "2025-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OH",
"license": "57.257951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2025; 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.