NIGHAT D SIDDIQUI MD
NPI 1538296462
Family Medicine in Franklin, WI
About Nighat D Siddiqui Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIGHAT D SIDDIQUI MD (NPI 1538296462) is an individual family medicine provider in Franklin, Wisconsin, licensed in Wisconsin (48990) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nighat D Siddiqui Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nighat Siddiqui reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Saint Francis, WI 53235
- Reassigned Medicare billing, Wisconsin enrollment
- 960 clinicians in this Medicare group
Milwaukee, WI 53209
- Reassigned Medicare billing, Wisconsin enrollment
- 1,615 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FRANKLIN, WI 53132
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 Nighat Siddiqui's NPI number?
The NPI number for Nighat Siddiqui is 1538296462. It was assigned to this individual provider in the NPPES registry on February 27, 2007. The provider is also known as Nighat Halim MD.
Where is Nighat Siddiqui located?
Nighat Siddiqui practices at 9200 W Loomis Rd, Franklin, WI 53132. The listed phone number is (414) 529-9200.
What is Nighat Siddiqui's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nighat Siddiqui enrolled in Medicare?
Yes. Nighat 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.
Which organizations bill Medicare for Nighat Siddiqui's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nighat Siddiqui reassigns Medicare benefits to 3 organizations: Aurora Medical Group, Inc. (West Allis, WI), Lakeshore Medical Clinic, LLC (Saint Francis, WI) and Aurora Advanced Healthcare, Inc. (Milwaukee, WI). Each 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 Nighat Siddiqui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nighat Siddiqui accept?
Health plans from CareSource (Common Ground Healthcare) list Nighat 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 Nighat Siddiqui was last updated on December 4, 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.
# Nighat D Siddiqui, MD · NPI 1538296462
Family Medicine physician in Franklin, Wisconsin. Individual provider, active in the CMS NPPES registry since February 27, 2007.
## Identity
- **NPI:** 1538296462 (Entity type: Individual)
- **Enumerated:** February 27, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 48990 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9200 W LOOMIS RD, Franklin, WI 53132-8887
- **Phone:** (414) 529-9200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI); Lakeshore Medical Clinic, LLC (NPI 1003861188, Saint Francis, WI); Aurora Advanced Healthcare, Inc. (NPI 1265629133, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** December 4, 2023
- **Other identifiers:** Medicaid 34959100 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1538296462) · Data from the CMS NPPES public registry.