MAHMOOD A SIDDIQUI MD PC
NPI 1427070523
Internal Medicine in Copperhill, TN

Active since July 25, 2006CLIA 44D0942935 · Microscopy
144 MEDICAL CENTER DR. #B, COPPERHILL, TN 37317(423) 496-9214(423) 496-7809 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mahmood A Siddiqui Md Pc NPPES

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

MAHMOOD A SIDDIQUI MD PC (NPI 1427070523) is a healthcare organization registered as an internal medicine in Copperhill, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through March 18, 2028 and lists Mahmood Abdul Siddiqui, President, as its authorized official.

NPPES Registry Identity

NPI1427070523
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAHMOOD A SIDDIQUI MD PC
Location Address144 MEDICAL CENTER DR. #BCopperhill, TN 37317-5000
Mailing AddressPo Box 1162Copperhill, TN 37317-1162 · (423) 496-9214 · Fax (423) 496-7809
Fax(423) 496-7809
Organization SubpartNo
Authorized OfficialMahmood Abdul SiddiquiPresident · (423) 496-9214
Enumeration DateJuly 25, 2006
Last NPPES UpdateNovember 9, 2007
✔ NPI 1427070523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · MD26174
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.
144 MEDICAL CENTER DR. #B, Copperhill, TN 37317

Other Identifiers 2

Medicaid3736177TN
Medicare PIN3736177TN

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mahmood A Siddiqui Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Mahmood A Siddiqui MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1558182261
144 MEDICAL CENTER DR
Copperhill, TN 37317
(423) 496-9214
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518325463
144 MEDICAL CENTER DR
Copperhill, TN 37317
(423) 496-9214
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326811258
405 FANNIN INDUSTRIAL PARK
Blue Ridge, GA 30513
(706) 309-5500
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1316365554
645 PAUL HUFF PKWY NW STE 105
Cleveland, TN 37312
(423) 790-7750
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1578229373
1060 PEERLESS XING NW STE 101
Cleveland, TN 37312
(423) 339-3340
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1518420256
6401 SHALLOWFORD RD
Chattanooga, TN 37421
(423) 893-6500
✔ PECOS✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1164518502
2401 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ PECOS✔ Accepts Medicare800 mi
Internal Medicine
NPI 1568439453
144 MEDICAL CENTER DR #B
Copperhill, TN 37317
(423) 496-9214
✔ PECOS✔ Accepts Medicare

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0942935

Mahmood A Siddiqui MD · Copperhill, TN
Active · expires Mar 18, 2028
CLIA Number44D0942935
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorMahmood A. Siddiqui MD
Laboratory Phone(423) 496-9214
Laboratory LocationMahmood A Siddiqui MD144 Medical Center Drive Suite B, Copperhill, TN 37317
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Mahmood A Siddiqui MD PC's NPI number?

The NPI number for Mahmood A Siddiqui MD PC is 1427070523. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Mahmood A Siddiqui MD PC located?

Mahmood A Siddiqui MD PC is located at 144 Medical Center Dr. #b, Copperhill, TN 37317. The listed phone number is (423) 496-9214.

What is Mahmood A Siddiqui MD PC's specialty?

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

Is Mahmood A Siddiqui MD PC enrolled in Medicare?

Yes. Mahmood A Siddiqui MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mahmood A Siddiqui MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Mahmood A Siddiqui MD PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (7) and Internal Medicine (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mahmood A Siddiqui MD PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0942935) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mahmood A Siddiqui MD PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Mahmood A Siddiqui MD PC 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 Mahmood A Siddiqui MD PC was last updated on November 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.