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DONISH SIDDIQI MD
NPI 1194168252
Family Medicine in Holly Springs, GA

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1120 WELLSTAR WAY STE 204, HOLLY SPRINGS, GA 30114(470) 267-0110(770) 999-2229 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2019, Sep 10, 2019, Aug 13, 2019 and 2 more (5 updates tracked since 2017).

About Donish Siddiqi Md NPPES

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

DONISH SIDDIQI MD (NPI 1194168252) is an individual family medicine provider in Holly Springs, Georgia, licensed in Georgia (80152) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Utica.

NPPES Registry Identity

NPI1194168252
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDONISH SIDDIQICredential: MD
Location Address1120 WELLSTAR WAY STE 204Holly Springs, GA 30114
Mailing Address1120 Wellstar Way Ste 204Holly Springs, GA 30114-8929 · (470) 267-0110 · Fax (770) 999-2229
Phone(470) 267-0110
Fax(770) 999-2229
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateOctober 30, 20195 updates tracked since enumeration
✔ NPI 1194168252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 80152✔ Licensed in NY · 287070
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1120 WELLSTAR WAY STE 204, Holly Springs, GA 30114
Open in Google Maps ↗

Secondary Practice Location 1

Location 1120 Hobart StUtica, NY 13501 · Phone (315) 801-1149 · Fax (315) 801-3565

Other Identifiers 1

Medicaid04632711NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Donish Siddiqi Md 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 ID4789827965
PECOS Enrollment IDI20190916003512
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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
229 services153 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
146 services146 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
24 services24 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.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30114 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

BETHANY ELLEN KINSEY NP
Nurse Practitioner (Family)
1120 WELLSTAR WAY STE 204
HOLLY SPRINGS, GA 30114
Cherokee County (470) 267-0135
SYDNEY ANABEL COLON APRN-FNP
Nurse Practitioner (Family)
1120 WELLSTAR WAY STE 204
HOLLY SPRINGS, GA 30114
Cherokee County (470) 267-0110
DR. JOANNA MIRAGAYA MD, PHD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1120 WELLSTAR WAY STE 204
HOLLY SPRINGS, GA 30114
Cherokee County (470) 267-0135

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 Donish Siddiqi's NPI number?

The NPI number for Donish Siddiqi is 1194168252. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Donish Siddiqi located?

Donish Siddiqi practices at 1120 Wellstar Way Ste 204, Holly Springs, GA 30114. The listed phone number is (470) 267-0110.

What is Donish Siddiqi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donish Siddiqi enrolled in Medicare?

Yes. Donish Siddiqi 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 Donish Siddiqi accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Donish Siddiqi 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 Donish Siddiqi affiliated with any hospitals?

According to CMS data, Donish Siddiqi is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Cobb Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Donish Siddiqi was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.