HANI SIDDEEK
NPI 1205255627
Pediatrics - Pediatric Cardiology in Minneapolis, MN

Q: What is Hani Siddeek's NPI number?

The NPI number for Hani Siddeek is 1205255627. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Q: What is Hani Siddeek's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Hani Siddeek was last updated on July 13, 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.

Active since April 14, 2014PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 672-6000 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 13, 2023, Nov 23, 2021, Jul 24, 2019 and 1 more (4 updates tracked since 2015).

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About Hani Siddeek NPPES

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

HANI SIDDEEK (NPI 1205255627) is an individual pediatric cardiology provider in Minneapolis, Minnesota, licensed in Utah (12308406-1205) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1205255627

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameHANI SIDDEEK

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address1134n Campbell Rd 312Royal Oak, MI 48067-1537 · (503) 312-6360

Phone(612) 672-6000

Sole ProprietorYes

Enumeration DateApril 14, 2014

Last NPPES UpdateJuly 13, 20234 updates tracked since enumeration

NPPES CertifiedJuly 13, 2023

✔ NPI 1205255627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in UT · 12308406-1205

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License 63768 (MN)

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Secondary Practice Location 1

Location 13901 Beaubien StDetroit, MI 48201-2119 · Phone (313) 745-1892

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare 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 (PECOS)

Hani Siddeek 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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner