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KHURRUM SIDDIQUE M.D.
NPI 1154640324
Pediatrics - Pediatric Nephrology in San Antonio, TX

Active since May 26, 2010PECOS EnrolledAccepts Medicare Assignment
333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-3030 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2026, May 19, 2023, Oct 11, 2022 and 4 more (7 updates tracked since 2015).

About Khurrum Siddique M.d. NPPES

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

KHURRUM SIDDIQUE M.D. (NPI 1154640324) is an individual pediatric nephrology provider in San Antonio, Texas, licensed in Illinois (036.163809) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154640324
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameKHURRUM SIDDIQUECredential: M.D.
Location Address333 N SANTA ROSASan Antonio, TX 78207-3108
Mailing Address333 N Santa RosaSan Antonio, TX 78207-3108 · (210) 704-3030
Phone(210) 704-3030
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 26, 2010
Last NPPES UpdateJanuary 23, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1154640324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
Licenses✔ Licensed in IL · 036.163809✔ Licensed in NC · 2024-01519✔ Licensed in TX · P6084
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedPediatricsTaxonomy 208000000X · License P6084 (TX)
333 N SANTA ROSA, San Antonio, TX 78207
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12821 Michaelangelo Dr Ste 101Edinburg, TX 78539-1411 · Phone (956) 362-8200 · Fax (956) 362-8204
Location 29555 S 52nd AveOak Lawn, IL 60453-3054 · Phone (708) 684-5437 · Fax (708) 876-1569
Location 3Medical Center BlvdWinston Salem, NC 27157-3108 · Phone (336) 713-4500 · Fax (336) 713-4501

Other Identifiers 1

Medicaid321120302TX

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

Khurrum Siddique 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 ID4486954013
PECOS Enrollment IDI20240729000883, I20260115003553
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.

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

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.

LATHA PRASANNAN MD
Pediatrics (Pediatric Hematology-Oncology)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
SOFIA SILVER COOK MD
Pediatrics (Pediatric Emergency Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
NATALIE DIANE ETHRIDGE CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
BONNIE MCILYAR DURLEY DO
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3910
RAQUEL S PAZ
Student in an Organized Health Care Education/Training Program
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (760) 912-1125
DR. OLGA M CAJAS MD
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-4966
LEA PORCHE M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (713) 798-1750
SETH T SORENSEN PHD
Clinical Neuropsychologist
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030

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 Khurrum Siddique's NPI number?

The NPI number for Khurrum Siddique is 1154640324. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Where is Khurrum Siddique located?

Khurrum Siddique practices at 333 N Santa Rosa, San Antonio, TX 78207. The listed phone number is (210) 704-3030.

What is Khurrum Siddique's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Khurrum Siddique enrolled in Medicare?

Yes. Khurrum Siddique 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 Khurrum Siddique accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Khurrum Siddique 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 Khurrum Siddique affiliated with any hospitals?

According to CMS data, Khurrum Siddique is affiliated with M Health Fairview University Of Mn and North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Khurrum Siddique was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.