Active NPI
Mukarram Mohammed Siddiqui, MD
- Cardiovascular Disease Physician
- Southfield, MI
National Provider Identifier
1972583177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301062045
- Practice address
- 27209 Lahser Rd Ste 226
Southfield, MI 48034-8403 - Phone
- (248) 595-8802
- Fax
- (248) 945-1222
- NPI assigned
- Jan 23, 2006
- Last updated
- Jul 1, 2023
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301062045 | MI | Primary |
Addresses
Primary practice location
27209 Lahser Rd Ste 226
Southfield, MI 48034-8403
Mailing address
27209 Lahser Rd Ste 226
Southfield, MI 48034-8403
Phone (248) 595-8802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4782011-10 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27177 Lahser Rd
Suite 103
Southfield, MI 48034-8467
Phone 2483572722130
27209 Lahser Rd
Suite 226
Southfield, MI 48034-8403
Phone (248) 595-8802
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.7 of 100
- Quality
- 74.33
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Comprehensive Cardiovascular Care PLLC | Cardiovascular Disease | Current | Accepting new patients |
Locations
27209 Lahser Rd
Ste 226
Southfield, MI 48034
Phone (248) 595-8802
Interoperability endpoints
- msiddiqu2@direct.dmc.org
- msiddiqui1151296@direct.hfhs.org
- mukarram.siddiqui.1@31940.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Southfield, MI
- NPI 1114304755
-
- Cardiovascular Disease Physician
- Southfield, MI
- NPI 1831284991
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
dba Sinai-Grace Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688169600000",
"number": "1972583177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27209 LAHSER RD STE 226",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480348403",
"telephone_number": "248-595-8802",
"fax_number": "248-945-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27209 LAHSER RD STE 226",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480348403",
"telephone_number": "248-595-8802",
"fax_number": "248-945-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "MUKARRAM",
"middle_name": "MOHAMMED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2023-07-01",
"certification_date": "2023-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301062045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4782011-10",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; 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.