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MISBAHUL HAFEEZ SIDDIQI M.D
NPI 1396083481
Internal Medicine in Reading, PA

Active since January 23, 2013PECOS EnrolledAccepts Medicare Assignment
83.3/100
CMS Quality Rating
420 S 5TH AVE, READING, PA 19611(484) 628-5455(484) 628-5772 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, May 19, 2016 (2 updates tracked since 2016).

About Misbahul Hafeez Siddiqi M.d NPPES

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

MISBAHUL HAFEEZ SIDDIQI M.D (NPI 1396083481) is an individual internal medicine provider in Reading, Pennsylvania, licensed in Pennsylvania (MD492579) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1396083481
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMISBAHUL HAFEEZ SIDDIQICredential: M.D
Location Address420 S 5TH AVEReading, PA 19611-2143
Mailing Address80 Seymour StHartford, CT 06102-8000
Phone(484) 628-5455
Fax(484) 628-5772
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 23, 2013
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1396083481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD492579
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
420 S 5TH AVE, Reading, PA 19611
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Accepted Insurance

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

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

Misbahul Hafeez Siddiqi M.d 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 ID4587807375
PECOS Enrollment IDI20240717005055, I20251116000110
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Misbahul Siddiqi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tower Health Medical Group
Same address
Anatomic Pathology & Clinical Pathology
420 S 5TH AVE
West Reading, PA 19611
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1174681969 (484) 628-8615
Pottstown Clinic Company LLC
17 mi
Family Medicine
730 S HANOVER ST
Pottstown, PA 19465
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 474 clinicians in this Medicare group
NPI 1649341934 (610) 323-6835
Phoenixville Clinic Company LLC
23 mi
Vascular Surgery
420 W LINFIELD TRAPPE RD, STE 1100
Limerick, PA 19468
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 529 clinicians in this Medicare group
NPI 1790746345 (610) 495-2550
Landmark Hospital Of Savannah LLC
640 mi
Long Term Care Hospital
800 E 68TH ST
Savannah, GA 31405
  • Reassigned Medicare billing, Georgia enrollment
  • 9 clinicians in this Medicare group
NPI 1023436102 (912) 298-1000
Cogent Healthcare Of Georgia PC
670 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
82 services82 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
49 services30 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.16
Promoting Interoperability100
Improvement Activities40
Cost56.9

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$19.41 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$114.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TOLUWANIMI OGBONMIDE
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Berks County (484) 628-8000
URVASHI SARKAR
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Berks County (484) 628-8000
MADISON HECK
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Berks County (484) 628-8000
NEIL HOFFMAN M.D.
Pathology (Forensic Pathology)
420 S 5TH AVE
WEST READING, PA 19611
Berks County (484) 628-8615
MS. LANE ROSCOE PA- C
Physician Assistant
420 S 5TH AVE
WEST READING, PA 19611
Berks County (610) 568-3637
ALICE LEE DO
Surgery
420 S 5TH AVE
WEST READING, PA 19611
Berks County (484) 628-4879
KYLE ROMPALA
Nurse Practitioner (Family)
420 S 5TH AVE
READING, PA 19611
Berks County (267) 280-7615
MATTHEW CRYER
Emergency Medicine
420 S 5TH AVE
WEST READING, PA 19611
Berks County (484) 628-1324

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 Misbahul Siddiqi's NPI number?

The NPI number for Misbahul Siddiqi is 1396083481. It was assigned to this individual provider in the NPPES registry on January 23, 2013.

Where is Misbahul Siddiqi located?

Misbahul Siddiqi practices at 420 S 5th Ave, Reading, PA 19611. The listed phone number is (484) 628-5455.

What is Misbahul Siddiqi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Misbahul Siddiqi enrolled in Medicare?

Yes. Misbahul Siddiqi 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 Misbahul Siddiqi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misbahul Siddiqi reassigns Medicare benefits to 5 organizations: Tower Health Medical Group (West Reading, PA), Pottstown Clinic Company LLC (Pottstown, PA), Phoenixville Clinic Company LLC (Limerick, PA), Landmark Hospital Of Savannah LLC (Savannah, GA) and Cogent Healthcare Of Georgia PC (Macon, GA). 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 Misbahul Siddiqi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misbahul Siddiqi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Misbahul Siddiqi 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.

Is Misbahul Siddiqi affiliated with any hospitals?

According to CMS data, Misbahul Siddiqi is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Misbahul Siddiqi was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.