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DR. ASIF MOHAMMED SIDDIQUI MD
NPI 1407975584
Psychiatry & Neurology - Child & Adolescent Psychiatry in Austin, TX

Active since March 28, 2007PECOS Enrolled
3636 EXECUTIVE CENTER DR, STE. 216, AUSTIN, TX 78731(512) 334-4445(512) 335-4099 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Asif Mohammed Siddiqui Md NPPES

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

DR. ASIF MOHAMMED SIDDIQUI MD (NPI 1407975584) is an individual child & adolescent psychiatry provider in Austin, Texas, licensed in Texas (L0600) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407975584
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. ASIF MOHAMMED SIDDIQUICredential: MD
Location Address3636 EXECUTIVE CENTER DR, STE. 216Austin, TX 78731-1643
Mailing Address3636 Executive Center Dr, Ste. 216Austin, TX 78731-1643 · (512) 334-4445 · Fax (512) 335-4099
Phone(512) 334-4445
Fax(512) 335-4099
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
✔ NPI 1407975584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in TX · L0600
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedSpecialistTaxonomy 174400000X · License L0600 (TX)
Also ListedPsychiatry & Neurology · Psychosomatic MedicineTaxonomy 2084P0015X · License L0600 (TX)
3636 EXECUTIVE CENTER DR, Austin, TX 78731
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Asif Mohammed Siddiqui Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Asif Siddiqui reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Austin Travis County Mental Health And Mental Retardation Center
3.1 mi
Home Health
5225 N LAMAR BLVD
Austin, TX 78751
  • Reassigned Medicare billing, Texas enrollment
  • 253 clinicians in this Medicare group
NPI 1831393990 (512) 483-5000
Gramercy Specialty Clinic PLLC
9.3 mi
Professional
4009 BANISTER LN STE 355
Austin, TX 78704
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
NPI 1922419324 (512) 777-2686

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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN SANKOVICH M.S.-C.C.C./SLP
Speech-Language Pathologist
3636 EXECUTIVE CENTER DR, STE 268
AUSTIN, TX 78731
Travis County (512) 480-9573
JOSHUA SCOTT INGLEBY PA-C
Physician Assistant
3636 EXECUTIVE CENTER DR
AUSTIN, TX 78731
Travis County (512) 371-9555
HEATHER ROY
Occupational Therapist
3636 EXECUTIVE CENTER DR
AUSTIN, TX 78731
Travis County (512) 372-1595
LIA MICHELLE JOHNSTON M.A., CCC-SLP
Speech-Language Pathologist
3636 EXECUTIVE CENTER DR, SUITE 268
AUSTIN, TX 78731
Travis County (512) 480-9573
ARC THERAPY SERVICES LLC
Home Health
3636 EXECUTIVE CENTER DR, BLD 8, STE 216
AUSTIN, TX 78731
Travis County (512) 372-1595
CYNTHIA SIMPSON PT,DPT
Physical Therapist (Orthopedic)
3636 EXECUTIVE CENTER DR, STE 150
AUSTIN, TX 78731
Travis County (512) 795-0053
ARC THERAPY SERVICES LLC
Hospice Care, Community Based
3636 EXECUTIVE CENTER DR, BLD 8, STE 210
AUSTIN, TX 78731
Travis County (512) 795-0204

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 Asif Siddiqui's NPI number?

The NPI number for Asif Siddiqui is 1407975584. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Asif Siddiqui located?

Asif Siddiqui practices at 3636 Executive Center Dr Ste. 216, Austin, TX 78731. The listed phone number is (512) 334-4445.

What is Asif Siddiqui's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Asif Siddiqui enrolled in Medicare?

Yes. Asif Siddiqui is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Asif Siddiqui's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Asif Siddiqui reassigns Medicare benefits to 2 organizations: Austin Travis County Mental Health And Mental Retardation Center (Austin, TX) and Gramercy Specialty Clinic PLLC (Austin, TX). 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 Asif Siddiqui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Asif Siddiqui accept?

Health plans from WellPoint list Asif 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 Asif Siddiqui was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.