SHAFI ULLAH SIDDIQI M.D.
NPI 1538499470
General Practice in Lake Elsinore, CA

Active since December 27, 2009PECOS EnrolledAccepts Medicare Assignment
31569 CANYON ESTATES DR, STE 201, LAKE ELSINORE, CA 92532(951) 226-0866(951) 226-0868 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2021, Jun 18, 2021 (2 updates tracked since 2021).

About Shafi Ullah Siddiqi M.d. NPPES

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

SHAFI ULLAH SIDDIQI M.D. (NPI 1538499470) is an individual general practice provider in Lake Elsinore, California, licensed in California (A102176) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (2005).

NPPES Registry Identity

NPI1538499470
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSHAFI ULLAH SIDDIQICredential: M.D.
Location Address31569 CANYON ESTATES DR, STE 201Lake Elsinore, CA 92532-0475
Mailing Address31569 Canyon Estates Dr, Ste 201Lake Elsinore, CA 92532-0475 · (951) 226-0866 · Fax (951) 226-0868
Fax(951) 226-0868
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 2005
Enumeration DateDecember 27, 2009
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
NPI 1538499470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · A102176
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
31569 CANYON ESTATES DR, Lake Elsinore, CA 92532

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

Shafi Ullah Siddiqi 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 ID4385937929
PECOS Enrollment IDI20160720000945
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

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 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.
82 services34 patients

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$63.53 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$29.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant (Medical)
31569 CANYON ESTATES DR, STE 135
LAKE ELSINORE, CA 92532
Physician Assistant (Medical)
31569 CANYON ESTATES DR, SUITE 135
LAKE ELSINORE, CA 92532
Counselor
31569 CANYON ESTATES DR
LAKE ELSINORE, CA 92532

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 Shafi Siddiqi's NPI number?

The NPI number for Shafi Siddiqi is 1538499470. It was assigned to this individual provider in the NPPES registry on December 27, 2009.

Where is Shafi Siddiqi located?

Shafi Siddiqi practices at 31569 Canyon Estates Dr Ste 201, Lake Elsinore, CA 92532. The listed phone number is (951) 226-0866.

What is Shafi Siddiqi's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Shafi Siddiqi enrolled in Medicare?

Yes. Shafi Siddiqi 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.

When was this NPI record last updated?

The NPPES record for Shafi Siddiqi was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.