HAMMAD SIDDIQUI M.D
NPI 1497205843
Internal Medicine - Nephrology in Lexington, KY

Q: What is Hammad Siddiqui's NPI number?

The NPI number for Hammad Siddiqui is 1497205843. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Q: What is Hammad Siddiqui's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Hammad Siddiqui was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 10, 2016PECOS EnrolledAccepts Medicare Assignment

84.89/100

CMS Quality Rating

1401 HARRODSBURG RD STE C335, LEXINGTON, KY 40504(859) 278-2575 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2021, Oct 31, 2016, Oct 10, 2016 (3 updates tracked since 2016).

On this page

About Hammad Siddiqui M.d NPPES

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

HAMMAD SIDDIQUI M.D (NPI 1497205843) is an individual nephrology provider in Lexington, Kentucky, licensed in Kentucky (55119) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497205843

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameHAMMAD SIDDIQUICredential: M.D

Location Address1401 HARRODSBURG RD STE C335Lexington, KY 40504-1791

Mailing Address1401 Harrodsburg Rd Ste 335Lexington, KY 40504-3751 · (859) 276-5355

Phone(859) 278-2575

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 10, 2016

Last NPPES UpdateJuly 27, 20213 updates tracked since enumeration

NPPES CertifiedJuly 22, 2021

✔ NPI 1497205843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in KY · 55119

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1401 HARRODSBURG RD STE C335, Lexington, KY 40504

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Accepted Insurance

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

Hammad 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 ID6002216629

PECOS Enrollment IDI20210617002668

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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

740 services232 patients

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.

335 services243 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

145 services66 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

108 services62 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

108 services105 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

66 services46 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

55 services30 patients

Dialysis procedure including 1 evaluation 90945

Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.

34 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

30 services23 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.

27 services27 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

14 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180010

LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County

Emergency services

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180049

Location801 Eastern BypassRichmond, KY 40475 · Madison County

Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Rockcastle County Hospital, Inc.

Acute Care Hospitals · Mount Vernon, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180115

Location145 Newcomb AvenueMount Vernon, KY 40456 · Rockcastle County

Emergency services

Saint Joseph East

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180143

Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.94

Improvement Activities

Cost

54.67

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.

FAIZAN BABAR M.D.

Internal Medicine (Nephrology)

1401 HARRODSBURG RD STE C335
LEXINGTON, KY 40504

Fayette County (859) 276-5355

MUHAMMAD IRFAN ATIQ M.D

Internal Medicine (Nephrology)

1401 HARRODSBURG RD STE C335
LEXINGTON, KY 40504

Fayette County (859) 276-5355

DANIYAL SAEED MD

Internal Medicine (Nephrology)

1401 HARRODSBURG RD STE C335
LEXINGTON, KY 40504

Fayette County (859) 276-5355

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 Hammad Siddiqui's NPI number?

The NPI number for Hammad Siddiqui is 1497205843. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Where is Hammad Siddiqui located?

Hammad Siddiqui practices at 1401 Harrodsburg Rd Ste C335, Lexington, KY 40504. The listed phone number is (859) 278-2575.

What is Hammad Siddiqui's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Hammad Siddiqui enrolled in Medicare?

Yes. Hammad 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 Hammad Siddiqui accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Hammad 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.

Is Hammad Siddiqui affiliated with any hospitals?

According to CMS data, Hammad Siddiqui is affiliated with Saint Joseph Hospital, Baptist Health Richmond, Baptist Health Lexington, Rockcastle County Hospital, Inc. and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Hammad Siddiqui was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.