EFAZA UMAR SIDDIQUI MD
NPI 1104302876
Radiology - Diagnostic Radiology in Worcester, MA
About Efaza Umar Siddiqui Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EFAZA UMAR SIDDIQUI MD (NPI 1104302876) is an individual diagnostic radiology provider in Worcester, Massachusetts, licensed in Connecticut (76539) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Efaza Umar 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.
Medicare Billing Reassignments
4Medicare enrollment records show Efaza Siddiqui reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tolland, CT 06084
- Reassigned Medicare billing, Connecticut enrollment
- 169 clinicians in this Medicare group
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- 161 clinicians in this Medicare group
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 167 clinicians in this Medicare group
Farmington, CT 06032
- Reassigned Medicare billing, Connecticut enrollment
- 172 clinicians in this Medicare group
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 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Efaza Siddiqui's NPI number?
The NPI number for Efaza Siddiqui is 1104302876. It was assigned to this individual provider in the NPPES registry on July 16, 2018.
Where is Efaza Siddiqui located?
Efaza Siddiqui practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.
What is Efaza Siddiqui's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Efaza Siddiqui enrolled in Medicare?
Yes. Efaza 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 Efaza Siddiqui's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Efaza Siddiqui reassigns Medicare benefits to 4 organizations: Tic, LLC (Tolland, CT), Jefferson Radiology, PC (Hartford, CT), Connecticut Imaging Partners, LLC (Wethersfield, CT) and Farmington Imaging Center, LLC (Farmington, CT). 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 Efaza Siddiqui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Efaza Siddiqui was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Efaza Umar Siddiqui, MD · NPI 1104302876
Diagnostic Radiology physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since July 16, 2018.
## Identity
- **NPI:** 1104302876 (Entity type: Individual)
- **Enumerated:** July 16, 2018
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 76539 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655
- **Phone:** (508) 334-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Tic, LLC (NPI 1457702813, Tolland, CT); Jefferson Radiology, PC (NPI 1396795951, Hartford, CT); Connecticut Imaging Partners, LLC (NPI 1740315761, Wethersfield, CT); Farmington Imaging Center, LLC (NPI 1275987802, Farmington, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104302876) · Data from the CMS NPPES public registry.