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SURAIYA SIDDIQUE MD
NPI 1295976330
General Practice in Mount Vernon, MO

Active since March 19, 2009PECOS EnrolledAccepts Medicare Assignment
600 N MAIN ST, MOUNT VERNON, MO 65712(417) 466-4000 Get Directions Write a Review

NPPES record last updated: March 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suraiya Siddique Md NPPES

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

SURAIYA SIDDIQUE MD (NPI 1295976330) is an individual general practice provider in Mount Vernon, Missouri, licensed in Wisconsin (52375-020) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1295976330
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameSURAIYA SIDDIQUECredential: MD
Location Address600 N MAIN STMount Vernon, MO 65712-1004
Mailing Address1701 Westpark Dr, #113Little Rock, AR 72204-2565 · (501) 603-3466
Phone(417) 466-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMarch 19, 2009
✔ NPI 1295976330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WI · 52375-020
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
600 N MAIN ST, Mount Vernon, MO 65712
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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

Suraiya Siddique 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 ID244429397
PECOS Enrollment IDI20250811001702
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.

MRS. JILL LYNETTE GRIESBAUM MS, RD
Dietitian, Registered
600 N MAIN ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-0187
KUSAI A UMRAN MD
Physical Medicine & Rehabilitation
600 N MAIN ST
MOUNT VERNON, MO 65712
Lawrence County (417) 461-5312
DR. ANNE FRANCES POLASEK O.D.
Optometrist
600 N MAIN ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-0119
MYO WIN M.D
Internal Medicine
600 N MAIN ST, VA CLINIC
MOUNT VERNON, MO 65712
Lawrence County (417) 466-0141
DR. CIELO MARIE MACA MD
Internal Medicine (Pulmonary Disease)
600 N MAIN ST
MOUNT VERNON, MO 65712
Lawrence County (417) 461-5215
DR. LINDA MYERS MD
Family Medicine
600 N MAIN ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-0130
DR. DAVID MICHAEL WERNER O.D.
Optometrist
600 N MAIN ST, GENE TAYLOR V.A. OUTPATIENT CLINIC
MOUNT VERNON, MO 65712
Lawrence County (417) 466-0182
CHERYL DENISE HOWARD PHARM.D.
Pharmacist
600 N MAIN ST
MOUNT VERNON, MO 65712
Lawrence County (417) 466-4000

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 Suraiya Siddique's NPI number?

The NPI number for Suraiya Siddique is 1295976330. It was assigned to this individual provider in the NPPES registry on March 19, 2009.

Where is Suraiya Siddique located?

Suraiya Siddique practices at 600 N Main St, Mount Vernon, MO 65712. The listed phone number is (417) 466-4000.

What is Suraiya Siddique's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Suraiya Siddique enrolled in Medicare?

Yes. Suraiya Siddique 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.

When was this NPI record last updated?

The NPPES record for Suraiya Siddique was last updated on March 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.