MEHDI SIDDIQUI MD
NPI 1053949743
Radiology - Vascular & Interventional Radiology in Fort Worth, TX

Q: What is Mehdi Siddiqui's NPI number?

The NPI number for Mehdi Siddiqui is 1053949743. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Q: What is Mehdi Siddiqui's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Mehdi Siddiqui was last updated on June 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2020PECOS Enrolled

815 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 321-0404 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2026, Mar 30, 2020 (2 updates tracked since 2020).

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About Mehdi Siddiqui Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEHDI SIDDIQUI MD (NPI 1053949743) is an individual vascular & interventional radiology provider in Fort Worth, Texas, licensed in Texas (T8352) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1053949743

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameMEHDI SIDDIQUICredential: MD

Location Address815 PENNSYLVANIA AVEFort Worth, TX 76104-2224

Mailing Address1320 S University Dr Ste 500Fort Worth, TX 76107-5732 · (817) 321-0404

Phone(817) 321-0404

Sole ProprietorYes

Enumeration DateMarch 30, 2020

Last NPPES UpdateJune 17, 20262 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1053949743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in TX · T8352

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

815 PENNSYLVANIA AVE, Fort Worth, TX 76104

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Secondary Practice Location 1

Location 111118 Pomona Park DrSan Antonio, TX 78249-4566 · Phone (214) 773-9949

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mehdi Siddiqui Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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