SURAIYA SIDDIQUE MD
NPI 1295976330
General Practice in Mount Vernon, MO
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Suraiya Siddique reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lanham, MD 20706
- Reassigned Medicare billing, Washington enrollment
- 239 clinicians in this Medicare group
Everett, WA 98203
- Reassigned Medicare billing, Washington enrollment
- 166 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MOUNT VERNON, MO 65712
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.
Which organizations bill Medicare for Suraiya Siddique's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suraiya Siddique reassigns Medicare benefits to 2 organizations: Post Acute Medical PLLC (Lanham, MD) and Altea Medical Washington PLLC (Everett, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suraiya Siddique's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Suraiya Siddique, MD · NPI 1295976330
General Practice physician in Mount Vernon, Missouri. Individual provider, active in the CMS NPPES registry since March 19, 2009.
## Identity
- **NPI:** 1295976330 (Entity type: Individual)
- **Enumerated:** March 19, 2009
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 52375-020 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 N MAIN ST, Mount Vernon, MO 65712-1004
- **Phone:** (417) 466-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Post Acute Medical PLLC (NPI 1730713025, Lanham, MD); Altea Medical Washington PLLC (NPI 1609655497, Everett, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** March 19, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1295976330) · Data from the CMS NPPES public registry.