DR. JUWAIRRIYYAH ABDUL WAHID SIDDIQUI MD
NPI 1083270805
Pediatrics - Pediatric Endocrinology in Tyler, TX

Q: What is Juwairriyyah Siddiqui's NPI number?

The NPI number for Juwairriyyah Siddiqui is 1083270805. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Q: What is Juwairriyyah Siddiqui's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Active since May 16, 2019PECOS Enrolled

8934 S BROADWAY AVE STE 448, TYLER, TX 75703(903) 606-5100(903) 606-5105 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2026, Apr 15, 2026, May 16, 2019 (3 updates tracked since 2019).

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About Dr. Juwairriyyah Abdul Wahid Siddiqui Md NPPES

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

DR. JUWAIRRIYYAH ABDUL WAHID SIDDIQUI MD (NPI 1083270805) is an individual pediatric endocrinology provider in Tyler, Texas, licensed in Texas (W1504) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1083270805

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameDR. JUWAIRRIYYAH ABDUL WAHID SIDDIQUICredential: MD

Location Address8934 S BROADWAY AVE STE 448Tyler, TX 75703-5475

Mailing Address560 Riverside Dr Apt 14jNew York, NY 10027-3240 · (917) 250-5314

Phone(903) 606-5100

Fax(903) 606-5105

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 16, 2019

Last NPPES UpdateAugust 28, 20263 updates tracked since enumeration

NPPES CertifiedAugust 28, 2026

✔ NPI 1083270805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in TX · W1504

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

8934 S BROADWAY AVE STE 448, Tyler, TX 75703

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11120 E Front StTyler, TX 75702-8414 · Phone (903) 606-3630

Location 2506 Lenox AveNew York, NY 10037-1802 · Phone (212) 939-4019

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Juwairriyyah Abdul Wahid Siddiqui Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527537646

PECOS Enrollment IDI20260519001459

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.

Medicare Billing Reassignment

Medicare enrollment records show Juwairriyyah Siddiqui reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christus Trinity Clinic Texas

6.7 mi

Family Medicine

520 DOUGLAS BLVD
Tyler, TX 75702

Reassigned Medicare billing, Texas enrollment
2,745 clinicians in this Medicare group

NPI 1285684225 (903) 315-4119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 3

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

ADELINA G. MEADOWS MD

Pediatrics (Pediatric Endocrinology)

8934 S BROADWAY AVE STE 448
TYLER, TX 75703

Smith County (903) 606-5100

DR. SARAH ELIZABETH BOSTICK D.O.

Family Medicine

8934 S BROADWAY AVE STE 448
TYLER, TX 75703

Smith County (903) 606-5100

ANA VICTORIA GUTIERREZ ALVAREZ M.D.

Pediatrics

8934 S BROADWAY AVE STE 448
TYLER, TX 75703

Smith County (903) 606-5100

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 Juwairriyyah Siddiqui's NPI number?

The NPI number for Juwairriyyah Siddiqui is 1083270805. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Where is Juwairriyyah Siddiqui located?

Juwairriyyah Siddiqui practices at 8934 S Broadway Ave Ste 448, Tyler, TX 75703. The listed phone number is (903) 606-5100.

What is Juwairriyyah Siddiqui's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Juwairriyyah Siddiqui enrolled in Medicare?

Yes. Juwairriyyah Siddiqui is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Juwairriyyah Siddiqui's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juwairriyyah Siddiqui reassigns Medicare benefits to Christus Trinity Clinic Texas (Tyler, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juwairriyyah Siddiqui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juwairriyyah Siddiqui accept?

Health plans from Blue Cross and Blue Shield of Texas list Juwairriyyah Siddiqui 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.

When was this NPI record last updated?

The NPPES record for Juwairriyyah Siddiqui was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.