DR. KANWAL SIDDIQUI M.D.
NPI 1154764447
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since April 17, 2013PECOS Enrolled
1611 NW 12TH AVE, WEST WING 279, MIAMI, FL 33136(305) 585-7955 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2016, Mar 23, 2016 (2 updates tracked since 2016).

About Dr. Kanwal Siddiqui M.d. NPPES

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

DR. KANWAL SIDDIQUI M.D. (NPI 1154764447) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154764447
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KANWAL SIDDIQUICredential: M.D.
Location Address1611 NW 12TH AVE, WEST WING 279Miami, FL 33136-1005
Mailing Address1611 Nw 12th Ave, West Wing 279Miami, FL 33136-1005 · (305) 585-7955
Sole ProprietorNo
Enumeration DateApril 17, 2013
Last NPPES UpdateMarch 31, 20162 updates tracked since enumeration
NPI 1154764447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 020580 (PR)
1611 NW 12TH AVE, Miami, FL 33136

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kanwal Siddiqui M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Kanwal Siddiqui's NPI number?

The NPI number for Kanwal Siddiqui is 1154764447. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Kanwal Siddiqui located?

Kanwal Siddiqui practices at 1611 NW 12th Ave West Wing 279, Miami, FL 33136. The listed phone number is (305) 585-7955.

What is Kanwal Siddiqui's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kanwal Siddiqui enrolled in Medicare?

Yes. Kanwal Siddiqui is registered in the Medicare PECOS enrollment system.

What insurance does Kanwal Siddiqui accept?

Health plans from UnitedHealthcare list Kanwal 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.

When was this NPI record last updated?

The NPPES record for Kanwal Siddiqui was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.