Individual provider Active NPI

Bushra Siddique, M.D.

  • Hospitalist Physician
  • Oklahoma City, OK
National Provider Identifier
1982848719
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
29723 Issued in OK
Practice address
5401 N Portland Ave
Suite 220
Oklahoma City, OK 73112-2121
Phone
(405) 694-4966
Fax
(405) 604-4331
NPI assigned
Apr 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 29723 OK Primary

Addresses

Primary practice location

5401 N Portland Ave
Suite 220
Oklahoma City, OK 73112-2121

Mailing address

820 W Danforth Rd
Suite 302
Edmond, OK 73103-5006
Phone (405) 217-0203

Other identifiers 1

IdentifierTypeStateIssuer
200522840AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20131115000823 OK Practitioner - Internal MedicinePractitioner - Infectious Disease 0244466597 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SSM Health Care of Oklahoma, Inc. 46 clinicians
St Anthony Shawnee Hospital Inc 15 clinicians
Community Nursing Center of Okc, LLC 12 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7278

1102 W Macarthur St
Shawnee, OK 74804-1743
Phone (405) 878-8110

1211 Larchmont LN
Nichols Hills, OK 73116-6103
Phone (877) 422-7221

1211 N Shartel Ave
Suite 606
Oklahoma City, OK 73103-2425
Phone (405) 848-0026

Hospital & facility affiliations

  • SSM Health at Home Home Health - Oklahoma Home health agency, Oklahoma City, OK, CCN 377035
  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Norman Regional Hospital, Norman, OK, CCN 370008
  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists Inc Infectious Disease Current Accepting new patients
Community Nursing Center of Okc, LLC CurrentSince Mar 1, 2025 Accepting new patients
SSM Health Care of Oklahoma Inc CurrentSince Jan 23, 2025 Accepting new patients
St. Anthony Shawnee Hospital, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Infectious Disease Associates LLC CurrentSince Oct 8, 2016 Accepting new patients
Community Nursing Center of Oklahoma City, LLC CurrentSince Mar 1, 2025 Accepting new patients
St Anthony Shawnee Hospital Inc CurrentSince Sep 1, 2024 Accepting new patients
Community Nursing Center of Oklahoma City, LLC Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

820 W Danforth Rd
Edmond, OK 73003
Phone (405) 602-3553

329 White St
Norman, OK 73069
Phone (405) 848-0026

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

1211 N Shartel Ave
Ste 606
Oklahoma City, OK 73103
Phone (405) 367-7824

1211 N Shartel Ave
Ste 300
Oklahoma City, OK 73103
Phone (405) 235-8008

5401 N Portland Ave
Ste 220
Oklahoma City, OK 73112
Phone (405) 604-4321

3501 NW 50th St
Oklahoma City, OK 73112
Phone (405) 420-0152

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

Interoperability endpoints

  • Direct secure messaging: bsiddique59622@ouhealth.direct-ci.net
  • Direct secure messaging: bsiddque85472@direct-ehr-ssmhc.com
  • Direct secure messaging: bsiddique23183@direct.integrisok.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1982848719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DANFORTH RD",
            "address_2": "SUITE 302",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "731035006",
            "telephone_number": "405-217-0203",
            "fax_number": "405-604-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND AVE",
            "address_2": "SUITE 220",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122121",
            "telephone_number": "405-694-4966",
            "fax_number": "405-604-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "BUSHRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "29723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200522840A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.