SABINA M SIDDIQUI MD
NPI 1275798712
Surgery - Pediatric Surgery in Springdale, AR

NPI Status: Active since July 24, 2008

Contact Information

2601 GENE GEORGE BLVD
SPRINGDALE, AR
ZIP 72762
Phone: (479) 725-6800

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 22
Surgery
Pediatric Surgery
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled

About SABINA SIDDIQUI

This page provides the complete NPI Profile along with additional information for Sabina Siddiqui, a provider established in Springdale, Arkansas with a medical specialization in Surgery, focusing in pediatric surgery and more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1275798712 assigned on July 2008. The practitioner's primary taxonomy code is 2086S0120X with license number V4980 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1275798712
Provider Name: SABINA M SIDDIQUI MD
Gender: Female
Entity Type: Individual
Location Address: 2601 GENE GEORGE BLVD SPRINGDALE, AR 72762
Location Phone: (479) 725-6800
Mailing Address: 150 HARVESTER DR STE 300 BURR RIDGE, IL 60527
Medical School Name: OTHER
Graduation Year: 2004
Is Sole Proprietor?: No
Enumeration Date: 07-24-2008
Last Update Date: 10-02-2025
Code Navigator

Location Map

Secondary Locations

9000 W Wisconsin Ave Pediatric Surgery
Milwaukee, WI 53226
(414) 266-6550
1000 E Broad St
Richmond, VA 23219
(804) 858-3500
4502 Medical Dr
San Antonio, TX 78229
(210) 358-4000
5841 S Maryland Ave
Chicago, IL 60637
(888) 824-0200
1250 E Marshall St
Richmond, VA 23298
(804) 628-6580
4440 W 95th St Ste 1332H
Oak Lawn, IL 60453
(708) 684-5437

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Surgery Pediatric Surgery
Taxonomy Code: 2086S0120X
Type: Allopathic & Osteopathic Physicians
License No.: V4980
License State: TX
Taxonomy Description: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	208600000X	Allopathic & Osteopathic Physicians	Surgery	0101286846 (VA)
2	208600000X	Allopathic & Osteopathic Physicians	Surgery	V4980 (TX)
3	2086S0102X	Allopathic & Osteopathic Physicians	Surgery Surgical Critical Care	0101286846 (VA)
4	2086S0102X	Allopathic & Osteopathic Physicians	Surgery Surgical Critical Care	4301097725 (MI)
5	2086S0120X	Allopathic & Osteopathic Physicians	Surgery Pediatric Surgery	66178 (WI)
6	2086S0120X	Allopathic & Osteopathic Physicians	Surgery Pediatric Surgery	036172107 (IL)
7	2086S0120X	Allopathic & Osteopathic Physicians	Surgery Pediatric Surgery	E-14223 (AR)
8	2086S0120X	Allopathic & Osteopathic Physicians	Surgery Pediatric Surgery	0101286846 (VA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Antidote Health Plan of Ohio, Inc.

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Standard - HMO
Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Standard - HMO
Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Standard - HMO

Arkansas Blue Cross and Blue Shield

Bronze Exp Standardized - PPO
Bronze Value - PPO
Catastrophic HSA - PPO
Gold Standardized - PPO
Gold Value - PPO
Silver AH - PPO
Silver Standardized - PPO
Dental Gold - PPO
Dental Gold Plus Vision - PPO
Dental Pediatric - PPO
Dental Platinum - PPO
Dental Platinum Plus Vision - PPO
Dental Platinum Premium - PPO
Dental Platinum Premium Plus Vision - PPO
Dental Silver - PPO

Baylor Scott and White Health Plan

BSW Diabetes Care Gold HMO 014 - HMO
BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
BSW Elite Gold HMO 004 - HMO
BSW Elite Gold HMO 012 - HMO
BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
BSW Prime Silver HMO 008 - HMO
BSW Prime Silver HMO 005 - HMO
BSW Savers Bronze HMO H S A 006 - HMO
BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
BSW Savers Bronze HMO H S A 009 - HMO

Blue Cross and Blue Shield of Oklahoma

Blue Advantage Bronze PPO? 202 - PPO
Blue Advantage Bronze PPO? 203 - PPO
Blue Advantage Bronze PPO? Standard - PPO
Blue Advantage Gold PPO? 309 - PPO
Blue Advantage Gold PPO? 604 - PPO
Blue Advantage Gold PPO? Standard - PPO
Blue Advantage Silver PPO? 204 - PPO
Blue Advantage Silver PPO? 501 - PPO
Blue Advantage Silver PPO? Standard - PPO
Blue Preferred Bronze PPO? Standard - PPO
Blue Preferred Gold PPO? Standard - PPO
Blue Preferred Security PPO? 200 - PPO
Blue Preferred Silver PPO? Standard - PPO

CommunityCare

Ascension St. John Empower Silver - HMO
Ascension St. John Empower Silver Standardized - HMO
CommunityCare Bronze IH223 - HMO
CommunityCare Bronze IH224 - HMO
CommunityCare Catastrophic - HMO
CommunityCare Expanded Bronze Standardized - HMO
CommunityCare Gold IH221 - HMO
CommunityCare Gold L21 - HMO
CommunityCare Gold Standardized - HMO
CommunityCare Silver L21 - HMO
CommunityCare Silver SLIH223 - HMO
CommunityCare Silver Standardized - HMO
Saint Francis Expanded Bronze Standardized - HMO
Saint Francis Silver Standardized - HMO

Health Advantage

HA Bronze Exp Standardized - POS
HA Bronze National - POS
HA Gold Premier National - POS
HA Gold Standardized - POS
HA Platinum Premier National - POS
HA Platinum Standardized - POS
HA Silver AH - POS
HA Silver Standardized - POS

Mending Health

MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO

Molina Healthcare

Molina Gold Core 1640 - HMO
Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
Molina Gold Core 1640 Plus with Adult Vision - HMO
Molina Gold Saver 750 - HMO
Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
Molina Gold Saver 750 Plus with Adult Vision - HMO
Molina Gold Standard - HMO
Molina Silver Core - HMO
Molina Silver Core Plus with Adult Dental and Vision - HMO
Molina Silver Core Plus with Adult Vision - HMO
Molina Silver Saver with Four Free PCP Visits - HMO
Molina Silver Standard - HMO

Octave

Octave Bronze Exp Standardized - POS
Octave Bronze Value - POS
Octave Gold Classic National - POS
Octave Gold Standardized - POS
Octave Silver AH - POS
Octave Silver Standardized - POS

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1275798712	MEDICAID (05)	WI

Medicare Participation & PECOS Enrollment Status

Sabina Siddiqui is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Sabina Siddiqui is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 6507013604
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20241021001725, I20241125004105
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275798712, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 14 → 1 + 4

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 16 → 1 + 6

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 1 + 4 + 9 + 1 + 6 + 7 + 2 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2

This NPI is valid

The calculated check digit is 2, which matches the last digit of 1275798712.