DR. MANSOOR SIDDIQUI MD
NPI 1386038503
Emergency Medicine in Philadelphia, PA

Q: What is Mansoor Siddiqui's NPI number?

The NPI number for Mansoor Siddiqui is 1386038503. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Q: What is Mansoor Siddiqui's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Mansoor Siddiqui was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 25, 2015PECOS EnrolledAccepts Medicare Assignment

1020 SANSOM ST STE 239, PHILADELPHIA, PA 19107(159) 556-8442 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mansoor Siddiqui Md NPPES

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

DR. MANSOOR SIDDIQUI MD (NPI 1386038503) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD464332) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1386038503

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MANSOOR SIDDIQUICredential: MD

Location Address1020 SANSOM ST STE 239Philadelphia, PA 19107

Mailing Address1020 Sansom St Ste 239Philadelphia, PA 19107-5002 · (159) 556-8442

Phone(159) 556-8442

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 2015

Enumeration DateMarch 25, 2015

Last NPPES UpdateOctober 23, 2018

✔ NPI 1386038503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in PA · MD464332

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1020 SANSOM ST STE 239, Philadelphia, PA 19107

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Secondary Practice Locations 5

Location 12799 W Grand Blvd, CFP-258Detroit, MI 48202-2608 · Phone (313) 916-1553

Location 22017 Chestnut StPhiladelphia, PA 19103-3307 · Phone (267) 443-2020

Location 3700 Walnut StPhiladelphia, PA 19106-3505 · Phone (215) 503-7300

Location 42301 S Broad St Fl 1Philadelphia, PA 19148-3542 · Phone (215) 952-9136

Location 52607 Rhawn StPhiladelphia, PA 19152-3038 · Phone (215) 333-0304

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Mansoor Siddiqui 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 ID7618266081

PECOS Enrollment IDI20190605002320

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

84 services84 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

44 services44 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

22 services22 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

VARSHA GOSWAMI M.D.

Emergency Medicine