SHABANA SIDDIQUI
NPI 1275510794
Family Medicine in Burnsville, MN

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
14000 FAIRVIEW DR, PARK NICOLLET CLINIC - BURNSVILLE, BURNSVILLE, MN 55337(952) 993-8700(952) 993-8715 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shabana Siddiqui NPPES

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

SHABANA SIDDIQUI (NPI 1275510794) is an individual family medicine provider in Burnsville, Minnesota, licensed in Minnesota (47275) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1275510794
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHABANA SIDDIQUI
Location Address14000 FAIRVIEW DR, PARK NICOLLET CLINIC - BURNSVILLEBurnsville, MN 55337-5713
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Fax(952) 993-8715
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 27, 2005
Last NPPES UpdateJuly 2, 2021
NPPES CertifiedJuly 2, 2021
NPI 1275510794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 47275
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.

14000 FAIRVIEW DR, Burnsville, MN 55337

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

Shabana Siddiqui 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 ID7517910508
PECOS Enrollment IDI20050302000453
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 20

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
178 services85 patients
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.
129 services84 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
87 services65 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
84 services62 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
78 services58 patients
Liver enzyme (sgpt), level 84460
A liver enzyme (SGPT) level test is a blood test that checks the health of your liver. SGPT is an enzyme found in your liver cells. If your liver is damaged or inflamed, SGPT can leak into your bloodstream, raising the enzyme level. This test helps identify liver diseases early.
77 services69 patients

Hospital Affiliations CMS Care Compare 2

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55337 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers25 claims61 services$5.77 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims28 services$0.98 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 20

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

Pediatrics
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Family Medicine
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Pediatrics
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Obstetrics & Gynecology
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Internal Medicine
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Pediatrics
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Radiology (Diagnostic Radiology)
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Family Medicine
14000 FAIRVIEW DR
BURNSVILLE, MN 55337

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 Shabana Siddiqui's NPI number?

The NPI number for Shabana Siddiqui is 1275510794. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Shabana Siddiqui located?

Shabana Siddiqui practices at 14000 Fairview Dr Park Nicollet Clinic - Burnsville, Burnsville, MN 55337. The listed phone number is (952) 993-8700.

What is Shabana Siddiqui's specialty?

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

Is Shabana Siddiqui enrolled in Medicare?

Yes. Shabana 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 Shabana Siddiqui accept?

Health plans from HealthPartners and Medica list Shabana 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 Shabana Siddiqui affiliated with any hospitals?

According to CMS data, Shabana Siddiqui is affiliated with Park Nicollet Methodist Hospital and M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Shabana Siddiqui was last updated on July 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.