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MR. MUHAMMAD ALI SIDDIQUI M.D.
NPI 1437125481
Family Medicine in Plano, TX

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
4405 ADRIEL LN, PLANO, TX 75074(870) 718-8384 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2023, Jan 7, 2022, Oct 5, 2020 and 3 more (6 updates tracked since 2016).

About Mr. Muhammad Ali Siddiqui M.d. NPPES

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

MR. MUHAMMAD ALI SIDDIQUI M.D. (NPI 1437125481) is an individual family medicine provider in Plano, Texas, licensed in Texas (R8828) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1437125481
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. MUHAMMAD ALI SIDDIQUICredential: M.D.
Location Address4405 ADRIEL LNPlano, TX 75074-0335
Mailing Address4405 Adriel LnPlano, TX 75074-0335 · (870) 718-8384
Phone(870) 718-8384
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 28, 2006
Last NPPES UpdateOctober 2, 20236 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1437125481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · R8828✔ Licensed in MI · 4301502858✔ Licensed in TN · 61863✔ Licensed in AR · E4343✔ Licensed in GA · 87073✔ Licensed in IN · 01084709A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4405 ADRIEL LN, Plano, TX 75074
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Secondary Practice Location 1

Location 11143 S Buckner Blvd Ste 133Dallas, TX 75217-4304 · Phone (214) 398-4690 · Fax (214) 398-4395

Other Identifiers 1

Medicaid157681001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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

Mr. Muhammad Ali Siddiqui 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 ID6406898956
PECOS Enrollment IDI20190131001882
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75074 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims40 services$5.65 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$885.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Muhammad Siddiqui's NPI number?

The NPI number for Muhammad Siddiqui is 1437125481. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Muhammad Siddiqui located?

Muhammad Siddiqui practices at 4405 Adriel Ln, Plano, TX 75074. The listed phone number is (870) 718-8384.

What is Muhammad Siddiqui's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Muhammad Siddiqui enrolled in Medicare?

Yes. Muhammad 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 Muhammad Siddiqui accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and Ambetter from Magnolia Health and 6 other insurers list Muhammad 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 Muhammad Siddiqui was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.