Individual provider Active NPI

Nasir Hameed Siddiqi, MD

  • Vascular & Interventional Radiology Physician
  • Lexington, KY
National Provider Identifier
1972584910
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
50774 Issued in KY
Practice address
800 Rose St.
Lexington, KY 40536
Phone
(859) 323-5069
Fax
(859) 257-4457
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 50774 KY Primary
Vascular & Interventional Radiology Physician 2085R0204X 2008020890 MO

Addresses

Primary practice location

800 Rose St.
Lexington, KY 40536

Mailing address

800 Rose St.
Lexington, KY 40536-0293
Phone (859) 323-5069

Other practice location 1

201 Dunn Rd
Florissant, MO 63031-7928
Phone (314) 830-3841

Other practice location 2

395 W 12th Ave
Columbus, OH 43210-1267
Phone (614) 293-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040430000244 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1153318050 Reassigns benefits to 1 organization
I20171009003432 KY Practitioner - Interventional Radiology 1153318050 Reassigns benefits to 3 organizations
I20241226001559 OH Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1153318050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osu Radiology LLCGroup PAC ID 8921031675, 180 clinicians

Practice addresses (Care Compare)

395 W 12TH Ave
RM 460
Columbus, OH 43210-1267
Phone (614) 293-8315

Hospital & facility affiliations

  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242

Merit-based Incentive Payment System (MIPS)

Final score
86.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
54.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50774KYMDVascular & Interventional Radiology Physician
2008020890MOMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Vascular & Interventional Radiology CurrentSince Jul 25, 2019 Accepting new patients
Kentucky Medical Services Foundation, Inc CurrentSince Sep 8, 2017 Accepting new patients
Osu Radiology LLC Vascular & Interventional Radiology CurrentSince Dec 1, 2024 Accepting new patients
Physicians Health Group of Louisville LLC CurrentSince Oct 2, 2023 Accepting new patients
St Louis University Vascular & Interventional Radiology CurrentSince Aug 1, 2010 Accepting new patients
St Louis University PastSince Aug 1, 2010 Accepting new patients
University of Kentucky Past Accepting new patients
Radcare of Texas PLLC Past Accepting new patients

Locations

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

6400 Dutchmans Pkwy
Ste 20
Louisville, KY 40205
Phone (502) 742-9392

3655 Vista Ave
Saint Louis, MO 63110
Phone (314) 977-5110

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

3545 Lafayette Ave
Saint Louis, MO 63104
Phone (314) 355-9509

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

395 W 12th Ave
Columbus, OH 43210
Phone (614) 293-8299

395 W 12th Ave
Rm 460
Columbus, OH 43210
Phone (614) 293-8299

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1972584910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-323-5069",
            "fax_number": "859-257-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40536",
            "telephone_number": "859-323-5069",
            "fax_number": "859-257-4457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Dunn Rd",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630317928",
            "country_code": "US",
            "telephone_number": "314-830-3841",
            "fax_number": "314-831-0153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-293-8315",
            "fax_number": "614-293-6935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "NASIR",
        "middle_name": "HAMEED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "KY",
            "license": "50774",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2008020890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.