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BUSHRA SIDDIQUI MD
NPI 1093335200
Internal Medicine in Sheffield Village, OH

Active since April 17, 2020PECOS EnrolledAccepts Medicare Assignment
90.06/100
CMS Quality Rating
5327 DETROIT RD STE B, SHEFFIELD VILLAGE, OH 44054(440) 365-2600(440) 365-5486 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2023, Jul 17, 2023, Jun 19, 2023 and 1 more (4 updates tracked since 2020).

About Bushra Siddiqui Md NPPES

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

BUSHRA SIDDIQUI MD (NPI 1093335200) is an individual internal medicine provider in Sheffield Village, Ohio, licensed in Ohio (35.148208) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093335200
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBUSHRA SIDDIQUICredential: MD
Location Address5327 DETROIT RD STE BSheffield Village, OH 44054-2903
Mailing Address5327 Detroit Rd Ste BSheffield Village, OH 44054-2903 · (440) 365-2600 · Fax (440) 365-5486
Phone(440) 365-2600
Fax(440) 365-5486
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 17, 2020
Last NPPES UpdateJuly 24, 20234 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1093335200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.148208
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5327 DETROIT RD STE B, Sheffield Village, OH 44054
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bushra Siddiqui 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 ID3476976580
PECOS Enrollment IDI20230907004205
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 Reassignments

3

Medicare enrollment records show Bushra Siddiqui reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Primary Care Practices Inc
0.4 mi
Orthopaedic Surgery
5001 TRANSPORTATION DR
Sheffield Village, OH 44054
  • Reassigned Medicare billing, Ohio enrollment
  • 1,437 clinicians in this Medicare group
NPI 1114054384 (440) 329-2800
Mercy Health Physicians Lorain, LLC
7.6 mi
Family Medicine
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 151 clinicians in this Medicare group
NPI 1023347192 (440) 988-1009
Mercy Health-Allen Hospital LLC
11 mi
Critical Access
200 W LORAIN ST
Oberlin, OH 44074
  • Reassigned Medicare billing, Ohio enrollment
  • 21 clinicians in this Medicare group
NPI 1801825997 (440) 960-3983

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

Areas of Expertise CMS Part B claims 4

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.

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.
96 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services29 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
13 services12 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44054 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.11
Promoting Interoperability100
Improvement Activities40

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 Bushra Siddiqui's NPI number?

The NPI number for Bushra Siddiqui is 1093335200. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Bushra Siddiqui located?

Bushra Siddiqui practices at 5327 Detroit Rd Ste B, Sheffield Village, OH 44054. The listed phone number is (440) 365-2600.

What is Bushra Siddiqui's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bushra Siddiqui enrolled in Medicare?

Yes. Bushra Siddiqui 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.

Which organizations bill Medicare for Bushra Siddiqui's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bushra Siddiqui reassigns Medicare benefits to 3 organizations: University Primary Care Practices Inc (Sheffield Village, OH), Mercy Health Physicians Lorain, LLC (Lorain, OH) and Mercy Health-Allen Hospital LLC (Oberlin, OH). Each 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 Bushra Siddiqui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bushra Siddiqui accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Oscar Health Insurance list Bushra 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.

Is Bushra Siddiqui affiliated with any hospitals?

According to CMS data, Bushra Siddiqui is affiliated with Mercy Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Bushra Siddiqui was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.