Active NPI
Bushra Siddique, M.D.
- Hospitalist Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 29723
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200522840A | Medicaid | OK |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131115000823 | OK | Practitioner - Internal Medicine | 0244466597 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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.St Anthony Shawnee Hospital IncCommunity Nursing Center of Okc, LLC
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
- SSM Health St Anthony Hospital - Midwest
- O U Medical Center
- Norman Regional
- SSM Health St Anthony Hospital - Shawnee
- SSM Health St Anthony Hospital - Oklahoma City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Specialists Inc | Infectious Disease | Current | Accepting new patients |
| Community Nursing Center of Okc, LLC | Current | Accepting new patients | |
| SSM Health Care of Oklahoma Inc | Current | Accepting new patients | |
| St. Anthony Shawnee Hospital, Inc. | Current | Accepting new patients | |
| Infectious Disease Associates LLC | Current | Accepting new patients | |
| Community Nursing Center of Oklahoma City, LLC | Current | Accepting new patients | |
| St Anthony Shawnee Hospital Inc | Current | 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
- bsiddique59622@ouhealth.direct-ci.net
- bsiddque85472@direct-ehr-ssmhc.com
- 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.
-
- Health Service Clinic/Center
- Oklahoma City, OK
- NPI 1881101459
OK
-
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1033283932
OK
-
- Community/Retail Pharmacy
- Shawnee, OK
- NPI 1912739020
-
- Psychiatric Hospital Unit
- Midwest City, OK
- NPI 1043805732
-
- General Acute Care Hospital
- Midwest City, OK
- NPI 1700471497
-
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1114025012
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
-
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
-
- Health Service Clinic/Center
- Tulsa, OK
- NPI 1881345478
-
- Health Service Clinic/Center
- Norman, OK
- NPI 1790473502
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Midwest City, OK
- NPI 1700471497
Hospital
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.
- 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.