FATIMA ZEHRA SIDDIQUI MD
NPI 1194220053
Family Medicine in Lexington, OH

Active since March 23, 2018PECOS EnrolledAccepts Medicare Assignment
231 E MAIN ST, LEXINGTON, OH 44904(419) 520-3500 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2022, Jun 22, 2021, May 28, 2021 and 2 more (5 updates tracked since 2018).

About Fatima Zehra Siddiqui Md NPPES

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

FATIMA ZEHRA SIDDIQUI MD (NPI 1194220053) is an individual family medicine provider in Lexington, Ohio, licensed in Ohio (35.140479) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194220053
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameFATIMA ZEHRA SIDDIQUICredential: MD
Location Address231 E MAIN STLexington, OH 44904-1353
Mailing Address231 E Main StLexington, OH 44904-1353 · (419) 520-3500
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 23, 2018
Last NPPES UpdateJanuary 25, 20225 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
NPI 1194220053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35.140479
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.
231 E MAIN ST, Lexington, OH 44904

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 and accepts Medicare assignment

Fatima Zehra Siddiqui 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 ID9931464807
PECOS Enrollment IDI20210603001371
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 14

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.
382 services220 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.
208 services208 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.
166 services137 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
74 services60 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.
49 services48 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.
48 services47 patients

Hospital Affiliations CMS Care Compare 2

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

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44904 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
231 E MAIN ST
LEXINGTON, OH 44904
Podiatrist
231 E MAIN ST
LEXINGTON, OH 44904
Nurse Practitioner (Family)
231 E MAIN ST
LEXINGTON, OH 44904
Nurse Practitioner (Family)
231 E MAIN ST
LEXINGTON, OH 44904
Family Medicine
231 E MAIN ST
LEXINGTON, OH 44904
Nurse Practitioner (Family)
231 E MAIN ST
LEXINGTON, OH 44904

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 Fatima Siddiqui's NPI number?

The NPI number for Fatima Siddiqui is 1194220053. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Fatima Siddiqui located?

Fatima Siddiqui practices at 231 E Main St, Lexington, OH 44904. The listed phone number is (419) 520-3500.

What is Fatima Siddiqui's specialty?

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

Is Fatima Siddiqui enrolled in Medicare?

Yes. Fatima Siddiqui 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 Fatima Siddiqui accept?

Health plans from CareSource and MedMutual list Fatima 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.

Is Fatima Siddiqui affiliated with any hospitals?

According to CMS data, Fatima Siddiqui is affiliated with Ohiohealth Mansfield Hospital and Avita Ontario.

When was this NPI record last updated?

The NPPES record for Fatima Siddiqui was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.