UMAR KAMAL SIDDIQUI MD
NPI 1578055984
Internal Medicine - Addiction Medicine in Duluth, MN

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
1001 E SUPERIOR ST STE 401, DULUTH, MN 55802(218) 249-5555 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Aug 29, 2022, Jul 12, 2021 and 1 more (4 updates tracked since 2021).

About Umar Kamal Siddiqui Md NPPES

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

UMAR KAMAL SIDDIQUI MD (NPI 1578055984) is an individual addiction medicine provider in Duluth, Minnesota, licensed in Minnesota (72173) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Aspirus Ironwood Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1578055984
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameUMAR KAMAL SIDDIQUICredential: MD
Location Address1001 E SUPERIOR ST STE 401Duluth, MN 55802-2229
Mailing Address1001 E Superior St Ste 401Duluth, MN 55802-2229 · (218) 249-5555
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 31, 2018
Last NPPES UpdateJuly 24, 20234 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
NPI 1578055984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Licenses Licensed in MN · 72173 Licensed in IL · 036157315
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
1001 E SUPERIOR ST STE 401, Duluth, MN 55802

Accepted 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

Umar Kamal 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.

PECOS PAC ID9638572902
PECOS Enrollment IDI20220919002666
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 8

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 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.
238 services69 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.
121 services56 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
40 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients
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.
24 services15 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.
22 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Aspirus Ironwood Hospital

Critical Access Hospitals · Ironwood, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number231333
LocationN10561 Grand View LaneIronwood, MI 49938 · Gogebic County
Emergency services Birthing friendly

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240040
Location750 East 34th StHibbing, MN 55746 · St. Louis County
Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 6

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

Internal Medicine
1001 E SUPERIOR ST STE 401
DULUTH, MN 55802
Nurse Practitioner (Family)
1001 E SUPERIOR ST STE 401
DULUTH, MN 55802
Internal Medicine
1001 E SUPERIOR ST STE 401
DULUTH, MN 55802
Nurse Practitioner
1001 E SUPERIOR ST STE 401
DULUTH, MN 55802
Nurse Practitioner
1001 E SUPERIOR ST STE 401
DULUTH, MN 55802
Internal Medicine
1001 E SUPERIOR ST STE 401
DULUTH, MN 55802

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 Umar Siddiqui's NPI number?

The NPI number for Umar Siddiqui is 1578055984. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Umar Siddiqui located?

Umar Siddiqui practices at 1001 E Superior St Ste 401, Duluth, MN 55802. The listed phone number is (218) 249-5555.

What is Umar Siddiqui's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Umar Siddiqui enrolled in Medicare?

Yes. Umar 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 Umar Siddiqui accept?

Health plans from HealthPartners, Medica and Security Health Plan list Umar 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 Umar Siddiqui affiliated with any hospitals?

According to CMS data, Umar Siddiqui is affiliated with Aspirus Ironwood Hospital, University Medical Center-Mesabi/ Mesaba Clinics and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Umar Siddiqui was last updated on July 24, 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.