KHALEEQ HUSSAIN SIDDIQUI M.D.
NPI 1174803563
Internal Medicine - Gastroenterology in Stockton, CA

Q: What is Khaleeq Siddiqui's NPI number?

The NPI number for Khaleeq Siddiqui is 1174803563. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Q: What is Khaleeq Siddiqui's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Khaleeq Siddiqui was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 17, 2011PECOS EnrolledAccepts Medicare Assignment

782 E HARDING WAY, STOCKTON, CA 95204(209) 546-5200(209) 466-1982 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2025, Jul 28, 2021, Jul 15, 2019 (3 updates tracked since 2019).

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About Khaleeq Hussain Siddiqui M.d. NPPES

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

KHALEEQ HUSSAIN SIDDIQUI M.D. (NPI 1174803563) is an individual gastroenterology provider in Stockton, California, licensed in California (C161602) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1174803563

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameKHALEEQ HUSSAIN SIDDIQUICredential: M.D.

Location Address782 E HARDING WAYStockton, CA 95204-6101

Mailing Address3400 Data Dr, Attention: Credentialing And Payer Enrollment DeptRancho Cordova, CA 95670

Phone(209) 546-5200

Fax(209) 466-1982

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateAugust 17, 2011

Last NPPES UpdateFebruary 19, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2026

✔ NPI 1174803563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · C161602

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License C161602 (CA)

782 E HARDING WAY, Stockton, CA 95204

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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

Khaleeq Hussain 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 ID345577854

PECOS Enrollment IDI20190806004153

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

Medicare enrollment records show Khaleeq Siddiqui reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dignity Health Medical Foundation

1.0 mi

Multi-Specialty

1901 N CALIFORNIA ST
Stockton, CA 95204

Reassigned Medicare billing, California enrollment
1,191 clinicians in this Medicare group

NPI 1518190958 (209) 948-0579

Lodi Memorial Hospital Association, Inc

6.7 mi

Primary Care

10200 TRINITY PARKWAY, SUITE 102
Stockton, CA 95219

Reassigned Medicare billing, California enrollment
221 clinicians in this Medicare group

NPI 1982860995 (209) 948-0808

Inpatient Specialists Of California, PC

347 mi

Internal Medicine

2101 N WATERMAN AVE
San Bernardino, CA 92404

Reassigned Medicare billing, California enrollment
1,216 clinicians in this Medicare group

NPI 1952792475 (615) 377-5658

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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

38 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

28 services24 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

23 services20 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

19 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$14.87 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PAVLO KARAPUTA FNP-C

Nurse Practitioner (Family)