HASSAAN SIDDIQUI DO
NPI 1487275269
Internal Medicine in Lafayette, IN

Q: What is Hassaan Siddiqui's NPI number?

The NPI number for Hassaan Siddiqui is 1487275269. It was assigned to this individual provider in the NPPES registry on May 2, 2020.

Q: What is Hassaan Siddiqui's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hassaan Siddiqui was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 02, 2020PECOS EnrolledAccepts Medicare Assignment

2600 GREENBUSH ST, LAFAYETTE, IN 47904(765) 448-8000(765) 448-7624 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 9, 2023, May 12, 2023 (2 updates tracked since 2023).

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About Hassaan Siddiqui Do NPPES

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

HASSAAN SIDDIQUI DO (NPI 1487275269) is an individual internal medicine provider in Lafayette, Indiana, licensed in Indiana (02007092A) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Arnett Hospital, and maintains a secondary practice location in Warren.

NPPES Registry Identity

NPI1487275269

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameHASSAAN SIDDIQUICredential: DO

Location Address2600 GREENBUSH STLafayette, IN 47904-2479

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(765) 448-8000

Fax(765) 448-7624

Sole ProprietorNo

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2020

Enumeration DateMay 2, 2020

Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration

NPPES CertifiedAugust 9, 2023

✔ NPI 1487275269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 02007092A

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2600 GREENBUSH ST, Lafayette, IN 47904

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Secondary Practice Location 1

Location 111885 E 12 Mile Rd Ste 300AWarren, MI 48093-3467 · Phone (586) 582-6630

Other Identifiers 2

Medicaid300074469IN

Other815500564IN · Medicare Ptan

Accepted Insurance

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

Hassaan Siddiqui Do 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 ID4486046752

PECOS Enrollment IDI20230515001707, I20251106004794

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 5

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.

370 services213 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

35 services35 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

29 services28 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

28 services28 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150173

Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Indiana University Health White Memorial Hospital

Critical Access Hospitals · Monticello, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151312

Location720 South Sixth StMonticello, IN 47960 · White County

Emergency services

Indiana University Health Frankfort Inc

Critical Access Hospitals · Frankfort, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151316

Location1300 S Jackson StFrankfort, IN 46041 · Clinton County

Emergency services

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230216

Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47904 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 20

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

MICHELLE B HERBERTS MD

Internal Medicine (Critical Care Medicine)