DR. FAZEEL MUKHTAR SIDDIQUI M.D.
NPI 1154513687
Psychiatry & Neurology - Vascular Neurology in Wyoming, MI

Active since August 17, 2007PECOS EnrolledAccepts Medicare Assignment
5900 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 252-7200 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2025, Oct 20, 2021, Oct 8, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Fazeel Mukhtar Siddiqui M.d. NPPES

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

DR. FAZEEL MUKHTAR SIDDIQUI M.D. (NPI 1154513687) is an individual vascular neurology provider in Wyoming, Michigan, licensed in Michigan (4301116960) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154513687
Entity TypeIndividualMale
Primary Taxonomy2084V0102X
Provider Legal NameDR. FAZEEL MUKHTAR SIDDIQUICredential: M.D.
Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519-9606
Mailing Address2122 Health Dr Sw Ste 160Wyoming, MI 49519-9402 · (616) 252-5790
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 17, 2007
Last NPPES UpdateMarch 13, 20254 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1154513687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
Licenses✔ Licensed in MI · 4301116960✔ Licensed in IL · 036-132058
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 036-132058 (IL)
5900 BYRON CENTER AVE SW, Wyoming, MI 49519

Secondary Practice Locations 3

Location 12122 Health Dr SW Ste 160Wyoming, MI 49519-9402 · Phone (616) 252-5790
Location 21221 Sixth St Ste 300Traverse City, MI 49684-2360 · Phone (231) 392-0640 · Fax (231) 392-0643
Location 3220 Cherry St SEGrand Rapids, MI 49503-4608 · Phone (616) 685-5050

Other Identifiers 1

Medicaid036132058IL

Accepted 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

Dr. Fazeel Mukhtar 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 ID345475331
PECOS Enrollment IDI20190513001577
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 Fazeel Siddiqui reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Infusion Therapy
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
  • Reassigned Medicare billing, Michigan enrollment
  • 685 clinicians in this Medicare group
Orthopaedic Surgery
2373 64TH ST SW STE 2700
Byron Center, MI 49315
  • Reassigned Medicare billing, Michigan enrollment
  • 737 clinicians in this Medicare group
General Acute Care Hospital
2513 MOMENTUM PL
Chicago, IL 60689
  • Reassigned Medicare billing, Michigan enrollment
  • 492 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

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.

Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance 62328
A lower back spinal tap, guided by imaging, is a procedure to collect spinal fluid for testing. A needle is carefully inserted into the lower back to draw out fluid. This can help diagnose various conditions. It's performed under local anesthesia to minimize discomfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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.

Internal Medicine
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Student in an Organized Health Care Education/Training Program
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Student in an Organized Health Care Education/Training Program
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Student in an Organized Health Care Education/Training Program
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Nurse Practitioner (Family)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Family Medicine
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Nurse Practitioner (Family)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Physician Assistant
5900 BYRON CENTER AVE SW
WYOMING, MI 49519

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 Fazeel Siddiqui's NPI number?

The NPI number for Fazeel Siddiqui is 1154513687. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Where is Fazeel Siddiqui located?

Fazeel Siddiqui practices at 5900 Byron Center Ave SW, Wyoming, MI 49519. The listed phone number is (616) 252-7200.

What is Fazeel Siddiqui's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Fazeel Siddiqui enrolled in Medicare?

Yes. Fazeel 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 Fazeel Siddiqui's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fazeel Siddiqui reassigns Medicare benefits to 3 organizations: Metropolitan Hospital (Wyoming, MI), Advantage Health Saint Mary's Medical Group (Byron Center, MI) and Munson Medical Center (Chicago, IL). 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 Fazeel Siddiqui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fazeel Siddiqui accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Fazeel 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 Fazeel Siddiqui affiliated with any hospitals?

According to CMS data, Fazeel Siddiqui is affiliated with University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Fazeel Siddiqui was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.