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DR. KHURAM SIDDIQI M.D.
NPI 1093859993
Internal Medicine in Sugar Land, TX

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment
85.83/100
CMS Quality Rating
800 BONAVENTURE WAY STE 151, SUGAR LAND, TX 77479(346) 754-3302(832) 944-6219 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Khuram Siddiqi M.d. NPPES

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

DR. KHURAM SIDDIQI M.D. (NPI 1093859993) is an individual internal medicine provider in Sugar Land, Texas, licensed in Texas (M7628) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1093859993
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KHURAM SIDDIQICredential: M.D.
Location Address800 BONAVENTURE WAY STE 151Sugar Land, TX 77479-8007
Mailing Address800 Bonaventure Way Ste 151Sugar Land, TX 77479-8007 · (346) 754-3302 · Fax (832) 944-6219
Phone(346) 754-3302
Fax(832) 944-6219
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 16, 2007
Last NPPES UpdateDecember 11, 2023
NPPES CertifiedDecember 11, 2023
✔ NPI 1093859993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M7628
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.

800 BONAVENTURE WAY STE 151, Sugar Land, TX 77479
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Khuram Siddiqi M.d. 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 ID7214011394
PECOS Enrollment IDI20080227000809, I20090225000448
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 5

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,634 services345 patients
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.
593 services138 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
396 services354 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
211 services195 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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.

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.

85.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.66
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%36 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims355 services$3.03 avg. paid by Medicare
Dry pressure mattress E0184
DME-Other DME · category DE000N
1 supplier11 claims11 services$133.92 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier34 claims34 services$53.01 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers25 claims25 services$14.52 avg. paid by Medicare
Heel loop/holder, any type, with or without ankle strap, each E0951
DME-Wheelchairs · category DD000N
4 suppliers26 claims51 services$10.17 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
5 suppliers29 claims56 services$25.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Khuram Siddiqi's NPI number?

The NPI number for Khuram Siddiqi is 1093859993. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Khuram Siddiqi located?

Khuram Siddiqi practices at 800 Bonaventure Way Ste 151, Sugar Land, TX 77479. The listed phone number is (346) 754-3302.

What is Khuram Siddiqi's specialty?

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

Is Khuram Siddiqi enrolled in Medicare?

Yes. Khuram Siddiqi 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 Khuram Siddiqi accept?

Health plans from Blue Cross and Blue Shield of Texas list Khuram Siddiqi 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 Khuram Siddiqi was last updated on December 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.