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NIHAL U SIDDIQUI M.D.
NPI 1114981321
Family Medicine in The Woodlands, TX

Active since April 14, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0946541 · Waiver
9004 FOREST CROSSING DR., STE. B, THE WOODLANDS, TX 77381(281) 364-1960(281) 364-1016 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nihal U Siddiqui M.d. NPPES

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

NIHAL U SIDDIQUI M.D. (NPI 1114981321) is an individual family medicine provider in The Woodlands, Texas, licensed in Texas (K2592) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 27, 2028, and is affiliated with Memorial Hermann Hospital System.

NPPES Registry Identity

NPI1114981321
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNIHAL U SIDDIQUICredential: M.D.
Location Address9004 FOREST CROSSING DR., STE. BThe Woodlands, TX 77381-1193
Mailing Address9004 Forest Crossing Dr., Ste. BThe Woodlands, TX 77381-1193 · (281) 364-1960 · Fax (281) 364-1016
Phone(281) 364-1960
Fax(281) 364-1016
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateApril 14, 2006
Last NPPES UpdateSeptember 13, 2012
✔ NPI 1114981321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K2592
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9004 FOREST CROSSING DR., The Woodlands, TX 77381
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Other Identifiers 7

Other760559868TX · Commercial
Medicare UPING4898TX
Medicare PIN0085BNTX
Other0085BNTX · Blue Cross
Other10021474TX · Amerigroup
Medicaid121333203TX
Medicaid121333204TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Nihal U Siddiqui 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 ID5193716892
PECOS Enrollment IDI20061019000618
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0946541

Nihal Siddiqui · The Woodlands, TX
Active · expires May 27, 2028
CLIA Number45D0946541
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorNihal U. Siddiqui
Laboratory Phone(281) 364-1960
Laboratory LocationNihal Siddiqui9004 Forest Crossing Dr Ste B, The Woodlands, TX 77381
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

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.
59 services35 patients
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.
56 services32 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
31 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77381 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers13 claims36 services$6.80 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 Nihal Siddiqui's NPI number?

The NPI number for Nihal Siddiqui is 1114981321. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Nihal Siddiqui located?

Nihal Siddiqui practices at 9004 Forest Crossing Dr. Ste. B, The Woodlands, TX 77381. The listed phone number is (281) 364-1960.

What is Nihal Siddiqui's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nihal Siddiqui enrolled in Medicare?

Yes. Nihal 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.

Does Nihal Siddiqui hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0946541) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nihal Siddiqui accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Nihal 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 Nihal Siddiqui affiliated with any hospitals?

According to CMS data, Nihal Siddiqui is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Nihal Siddiqui was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.