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SHAWN SIDDIQI
NPI 1457110546
Nurse Practitioner - Family in Grand Prairie, TX

Active since March 19, 2024PECOS Enrolled
2771 SHERMAN ST, GRAND PRAIRIE, TX 75051(972) 647-0550(972) 647-1010 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shawn Siddiqi NPPES

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

SHAWN SIDDIQI (NPI 1457110546) is an individual family provider in Grand Prairie, Texas, licensed in Texas (1045938) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457110546
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSHAWN SIDDIQI
Location Address2771 SHERMAN STGrand Prairie, TX 75051-6016
Mailing Address2771 Sherman StGrand Prairie, TX 75051-6016 · (972) 647-0550 · Fax (972) 647-1010
Phone(972) 647-0550
Fax(972) 647-1010
Sole ProprietorNo
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1457110546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1045938
2771 SHERMAN ST, Grand Prairie, TX 75051
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawn Siddiqi 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 Reassignment

Medicare enrollment records show Shawn Siddiqi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dfw Family Clinic
Same address
Family Medicine
2771 SHERMAN ST
Grand Prairie, TX 75051
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1811228851 (972) 647-0550

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75051 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 3

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

SUNRISE CARE INC
Pharmacy
2771 SHERMAN ST, SUITE B
GRAND PRAIRIE, TX 75051
Dallas County (972) 809-0984
DFW FAMILY CLINIC
Family Medicine
2771 SHERMAN ST
GRAND PRAIRIE, TX 75051
Dallas County (972) 647-0550
DFW FAMILY CLINIC
Physician Assistant (Medical)
2771 SHERMAN ST
GRAND PRAIRIE, TX 75051
Dallas County (972) 647-0550

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 Shawn Siddiqi's NPI number?

The NPI number for Shawn Siddiqi is 1457110546. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Shawn Siddiqi located?

Shawn Siddiqi practices at 2771 Sherman St, Grand Prairie, TX 75051. The listed phone number is (972) 647-0550.

What is Shawn Siddiqi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shawn Siddiqi enrolled in Medicare?

Yes. Shawn Siddiqi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shawn Siddiqi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Siddiqi reassigns Medicare benefits to Dfw Family Clinic (Grand Prairie, TX). The 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 Shawn Siddiqi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Siddiqi accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Shawn 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.

When was this NPI record last updated?

The NPPES record for Shawn Siddiqi was last updated on March 19, 2024. 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.