Individual provider Active NPI

Zohra F Siddiqi, DO

  • Family Medicine Physician
  • Webster, TX
National Provider Identifier
1952372252
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K8492 Issued in TX
Practice address
200 Medical Center Blvd
Suite102
Webster, TX 77598-4226
Phone
(281) 724-1271
Fax
(281) 724-1272
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K8492 TX Primary

Addresses

Primary practice location

200 Medical Center Blvd
Suite102
Webster, TX 77598-4226

Mailing address

200 Medical Center Blvd
Suite 102
Webster, TX 77598-4226
Phone (281) 724-1271

Other identifiers 1

IdentifierTypeStateIssuer
150543006MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040616000320 TX Practitioner - Family Practice 1557345626 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8492TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zohra F Siddiqi PA Family Medicine CurrentSince Nov 6, 2011 Accepting new patients
Southwest Doctors PA Past Accepting new patients
Suncoast Medical Group Inc Past Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

200 W Medical Center Blvd
Ste 102
Webster, TX 77598
Phone (281) 554-2846

410 Genesis Blvd
Ste C
Webster, TX 77598

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4066/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1952372252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER BLVD",
            "address_2": "SUITE 102",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984226",
            "telephone_number": "281-724-1271",
            "fax_number": "281-724-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER BLVD",
            "address_2": "SUITE102",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984226",
            "telephone_number": "281-724-1271",
            "fax_number": "281-724-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "ZOHRA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150543006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.