TAHIR SIDDIQ
NPI 1114591393
Clinic/Center - Primary Care in Pike Road, AL
About Tahir Siddiq NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAHIR SIDDIQ (NPI 1114591393) is a healthcare organization registered as a primary care in Pike Road, Alabama and active in the NPI registry since May 2021. The organization lists Tahir Siddiq, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tahir Siddiq is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tahir Siddiq, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tahir Siddiq's NPI number?
The NPI number for Tahir Siddiq is 1114591393. It was assigned to this organization in the NPPES registry on May 13, 2021.
Where is Tahir Siddiq located?
Tahir Siddiq is located at 441 Chaseway Dr, Pike Road, AL 36064. The listed phone number is (334) 396-0201.
What is Tahir Siddiq's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Tahir Siddiq enrolled in Medicare?
Yes. Tahir Siddiq is registered in the Medicare PECOS enrollment system.
When is Tahir Siddiq's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tahir Siddiq?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Tahir Siddiq. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tahir Siddiq was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Tahir Siddiq · NPI 1114591393
Primary Care organization in Pike Road, Alabama. Organization record, active in the CMS NPPES registry since May 13, 2021.
## Identity
- **NPI:** 1114591393 (Entity type: Organization)
- **Enumerated:** May 13, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Tahir Siddiq, OWNER
## Practice location
- **Address:** 441 CHASEWAY DR, Pike Road, AL 36064-3312
- **Phone:** (334) 396-0201
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Alabama, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114591393) · Data from the CMS NPPES public registry.