MITHILESH SIDDU
NPI 1174907521
Psychiatry & Neurology - Neurology in Augusta, GA
About Mithilesh Siddu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITHILESH SIDDU (NPI 1174907521) is an individual neurology provider in Augusta, Georgia, licensed in Georgia (83992) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
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
Mithilesh Siddu 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mithilesh Siddu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Augusta, GA 30912
- Reassigned Medicare billing, Georgia enrollment
- 1,151 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grady Memorial Hospital
Acute Care Hospitals · Atlanta, GASaint Joseph's Hospital Of Atlanta, Inc
Acute Care Hospitals · Atlanta, GAEmory Johns Creek Hospital
Acute Care Hospitals · Johns Creek, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Mithilesh Siddu's NPI number?
The NPI number for Mithilesh Siddu is 1174907521. It was assigned to this individual provider in the NPPES registry on July 15, 2015.
Where is Mithilesh Siddu located?
Mithilesh Siddu practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-1962.
What is Mithilesh Siddu's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Mithilesh Siddu enrolled in Medicare?
Yes. Mithilesh Siddu 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 Mithilesh Siddu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mithilesh Siddu reassigns Medicare benefits to 3 organizations: Au Medical Associates Inc (Augusta, GA), The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). 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 Mithilesh Siddu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mithilesh Siddu accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mithilesh Siddu 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 Mithilesh Siddu affiliated with any hospitals?
According to CMS data, Mithilesh Siddu is affiliated with Grady Memorial Hospital, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.
When was this NPI record last updated?
The NPPES record for Mithilesh Siddu was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mithilesh Siddu · NPI 1174907521
Neurology physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since July 15, 2015.
## Identity
- **NPI:** 1174907521 (Entity type: Individual)
- **Enumerated:** July 15, 2015
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 83992 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1120 15TH ST, Augusta, GA 30912-3201
- **Phone:** (706) 721-1962
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Au Medical Associates Inc (NPI 1841230620, Augusta, GA); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** June 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174907521) · Data from the CMS NPPES public registry.