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MS. FAZILA MAHMOOD SIDDIQUI NP
NPI 1376186460
Nurse Practitioner - Family in Novi, MI

Active since October 22, 2019PECOS EnrolledAccepts Medicare Assignment
47601 GRAND RIVER AVE, NOVI, MI 48374(248) 465-4311(248) 465-4651 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2025, Oct 22, 2019 (2 updates tracked since 2019).

About Ms. Fazila Mahmood Siddiqui Np NPPES

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

MS. FAZILA MAHMOOD SIDDIQUI NP (NPI 1376186460) is an individual family provider in Novi, Michigan, licensed in Michigan (4704278023) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376186460
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. FAZILA MAHMOOD SIDDIQUICredential: NP
Location Address47601 GRAND RIVER AVENovi, MI 48374-1233
Mailing Address22201 Moross Rd Bldg Suite380Detroit, MI 48236-2169 · (877) 784-3667 · Fax (313) 343-4567
Phone(248) 465-4311
Fax(248) 465-4651
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 22, 2019
Last NPPES UpdateFebruary 10, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1376186460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704278023
47601 GRAND RIVER AVE, Novi, MI 48374
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Ms. Fazila Mahmood Siddiqui Np 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 ID6002346145
PECOS Enrollment IDI20250205001124
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48374 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

AFTAB AHMAD MD PC
Hospitalist
47601 GRAND RIVER AVE, C106
NOVI, MI 48374
Oakland County (248) 790-3087
JACOB KAINE YATES PTA
Physical Therapy Assistant
47601 GRAND RIVER AVE
NOVI, MI 48374
Oakland County (248) 465-4100
MUNE GOWDA MD
Surgery
47601 GRAND RIVER AVE, STE B129
NOVI, MI 48374
Oakland County (248) 305-8400
RAMYA GUTHIKONDA PT
Physical Therapist
47601 GRAND RIVER AVE
NOVI, MI 48374
Oakland County (248) 910-8834
SYDNEY KRENZ
Nurse Practitioner (Family)
47601 GRAND RIVER AVE
NOVI, MI 48374
Oakland County (248) 465-4100
MEDFIX P.C.
Clinic/Center (Primary Care)
47601 GRAND RIVER AVE, SUITE B-230
NOVI, MI 48374
Oakland County (248) 465-4444
HENRY FORD HEALTH PROVIDENCE HOSPITAL
General Acute Care Hospital
47601 GRAND RIVER AVE
NOVI, MI 48374
Oakland County (248) 465-4170
MARIE NALEZYTY MS, RD, CNSC
Dietitian, Registered
47601 GRAND RIVER AVE
NOVI, MI 48374
Oakland County (248) 880-3245

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 Fazila Siddiqui's NPI number?

The NPI number for Fazila Siddiqui is 1376186460. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Where is Fazila Siddiqui located?

Fazila Siddiqui practices at 47601 Grand River Ave, Novi, MI 48374. The listed phone number is (248) 465-4311.

What is Fazila Siddiqui's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Fazila Siddiqui enrolled in Medicare?

Yes. Fazila 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 Fazila Siddiqui accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Fazila 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.

When was this NPI record last updated?

The NPPES record for Fazila Siddiqui was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.