DR. SYED AZHAR SIDDIQ M.D. NPI 1578501565
Internal Medicine in North Plainfield, NJ
About DR. SYED AZHAR SIDDIQ M.D.
Syed Siddiq is an internist established in North Plainfield, New Jersey and his medical specialization is Internal Medicine with more than 39 years of experience. The NPI number of this provider is 1578501565 and was assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X with license number MA062636 (NJ). The provider is registered as an individual and his NPI record was last updated 13 years ago.
| NPI | 1578501565 |
| Provider Name | DR. SYED AZHAR SIDDIQ M.D. |
| Location Address | 190 GREENBROOK RD NORTH PLAINFIELD, NJ 07060 |
| Location Phone | (908) 756-5206 |
| Mailing Address | 190 GREENBROOK RD NORTH PLAINFIELD, NJ 07060 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1984 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 06-03-2006 |
| Last Update Date | 01-04-2010 |
An internist like Syed Siddiq is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Syed Siddiq is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Syed Siddiq is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Jfk Medical Center.
The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: e-prescribing, immunization registry reporting, patient-specific education, provide patient access, security risk analysis and specialized registry reporting. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.
The typical physician office visit costs for Medicare beneficiaries in this area are: $37.64 for a new patient copayment and $29.21 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | MA062636 |
| License State | NJ |
| Taxonomy Description | 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
190 GREENBROOK RD
NORTH PLAINFIELD, NJ
ZIP 07060
Phone: (908) 756-5206
Fax: (908) 756-5214
Mailing Address
190 GREENBROOK RD
NORTH PLAINFIELD, NJ
ZIP 07060
Phone: (908) 756-5206
Fax: (908) 756-5214
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 6204871197 |
| PECOS Enrollment ID | I20050622000025 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 07060 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $66.45 | $198.48 | $150.56 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $16.61 | $49.62 | $37.64 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $21.27 | $162.58 | $116.86 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.31 | $40.64 | $29.21 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| e-Prescribing | 100% | 279 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Patient-Specific Education | 89% | 276 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 74% | 276 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 55Administration of influenza virus vaccine (HCPCS:G0008)
- 26Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- 11Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Syed Siddiq is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| JFK MEDICAL CENTER | 65 JAMES STREET EDISON, NJ 8820 | (732) 321-7000 | Acute Care Hospitals | 310108 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 0792610 | MEDICARE ID-TYPE UNSPECIFIED (04) | |
| 6680909 | MEDICAID (05) | NJ |
| G12692 | MEDICARE UPIN (02) |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 7 | 8 | 5 | 0 | 1 | 5 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 10 | 0 | 2 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 0 + 0 + 2 + 5 + 1 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1578501565 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447238639 | DR. GEORGE IAN WEINBERGER M.D. Individual | Dermatology | 190 GREENBROOK RD NORTH PLAINFIELD, NJ 07060 (908) 561-8070 |
| 1558341495 | DR. ALAN PETER BRUN MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 190 GREENBROOK RD NORTH PLAINFIELD, NJ 07060 (908) 561-0269 |
| 1144286543 | DR. ROBERT B BEIM MD Individual | Obstetrics & Gynecology | 190 GREENBROOK RD NORTH PLAINFIELD, NJ 07060 (908) 756-6812 |
| 1013076488 | GEORGE I WEINBERGER M D P A Organization | Dermatology | 190 GREENBROOK RD NORTH PLAINFIELD, NJ 07060 (908) 561-8070 |
| 1770646101 | DR. BHARTI KESHAVLAL SHAH MD Individual | Pediatrics | 190 GREENBROOK RD NORTH PLAINFIELD, NJ 07060 (908) 756-6426 |
| 1689726440 | RAHEEL SIDDIQ R.D. Individual | Dietitian, Registered | 190 GREENBROOK RD NORTH PLAINFIELD, NJ 07060 (908) 756-5206 |
| 1487815270 | ROBERT B BEIM MD AND WILLIAM J LOWE III MD PA Organization | Obstetrics & Gynecology | 190 GREENBROOK RD NORTH PLAINFIELD, NJ 07060 (908) 756-6812 |
| 1023056561 | SYED A. SIDDIQ, MD, LLC Organization | Internal Medicine | 190 GREENBROOK RD NORTH PLAINFIELD, NJ 07060 (908) 756-5206 |
| 1932248986 | ALAN P. BRAUN M.D. Organization | Internal Medicine | 190 GREENBROOK RD NORTH PLAINFIELD, NJ 07060 (908) 567-0269 |
| 1477840262 | M U REHMAN MD PC Organization | Clinic/Center (Multi-Specialty) | 190 GREENBROOK RD NORTH PLAINFIELD, NJ 07060 (908) 899-1549 |
Frequently Asked Questions
What is Dr. Syed Siddiq M.D. NPI number?
The NPI number assigned to this healthcare provider is 1578501565, registered as an "individual" on June 03, 2006
Where is Dr. Syed Siddiq M.D. located?
The provider is located at 190 Greenbrook Rd North Plainfield, Nj 07060 and the phone number is (908) 756-5206
Which is Dr. Syed Siddiq M.D. specialty?
The provider's speciality is Internal Medicine
How many years of experience does Dr. Syed Siddiq M.D. have?
The provider has more than 39 years of experience.
What insurance does Dr. Syed Siddiq M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Syed Siddiq M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Syed Siddiq M.D.?
Medicare beneficiaries should expect a typical cost of $150.56 with an average copayment of $37.64 for new patient appointments. Established patients should expect a typical charge of $116.86 and an average copayment of 29.21. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Syed Siddiq M.D.?
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit and Routine ekg using at least 12 leads including interpretation and report.
Is Dr. Syed Siddiq M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: JFK MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Syed Siddiq M.D. was last updated on June 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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