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TRISHUL SIDDHARTHAN MD
NPI 1073802286
Internal Medicine - Pulmonary Disease in Miami, FL

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1450 NW 10TH AVE STE 1101, MIAMI, FL 33136(305) 243-6387(305) 243-6372 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2020, Aug 16, 2019, Jul 26, 2017 (3 updates tracked since 2017).

About Trishul Siddharthan Md NPPES

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

TRISHUL SIDDHARTHAN MD (NPI 1073802286) is an individual pulmonary disease provider in Miami, Florida, licensed in Florida (ME147348) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1073802286
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameTRISHUL SIDDHARTHANCredential: MD
Location Address1450 NW 10TH AVE STE 1101Miami, FL 33136-1011
Mailing Address1450 Nw 10th Ave Ste 1101Miami, FL 33136-1011 · (305) 243-6387 · Fax (305) 243-6372
Phone(305) 243-6387
Fax(305) 243-6372
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 29, 2011
Last NPPES UpdateNovember 4, 20203 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
✔ NPI 1073802286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in FL · ME147348✔ Licensed in MD · D80049
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License D80049 (MD)
1450 NW 10TH AVE STE 1101, Miami, FL 33136
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Trishul Siddharthan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183847999
PECOS Enrollment IDI20201215001775
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Reported Quality Measures

Breast Cancer Screening
38%55 patients2/55-star benchmark: 93%
Cervical Cancer Screening
31%78 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
37%111 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
75%44 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
56%27 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
52%27 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
66%285 patients3/55-star benchmark: 100%
e-Prescribing
99%139 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%69 patients5/55-star benchmark: 100%
HIV Screening
38%128 patients3/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%155 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
89%134 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%158 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 74 patients
99%74 patients
Provide Patients Electronic Access to Their Health Information
100%71 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 74 patients
Patients totalRate: 16% · 74 patients
14%74 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN GARNET M.D.
Internal Medicine (Critical Care Medicine)
1450 NW 10TH AVE STE 1101
MIAMI, FL 33136
Miami-Dade County (305) 243-6387

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trishul Siddharthan's NPI number?

The NPI number for Trishul Siddharthan is 1073802286. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Trishul Siddharthan located?

Trishul Siddharthan practices at 1450 NW 10th Ave Ste 1101, Miami, FL 33136. The listed phone number is (305) 243-6387.

What is Trishul Siddharthan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Trishul Siddharthan enrolled in Medicare?

Yes. Trishul Siddharthan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Trishul Siddharthan accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Trishul Siddharthan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Trishul Siddharthan affiliated with any hospitals?

According to CMS data, Trishul Siddharthan is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Trishul Siddharthan was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.