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FATIMA SIDDIQUI M.D.
NPI 1629331053
Psychiatry & Neurology - Psychiatry in San Leandro, CA

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
777 DAVIS ST, SAN LEANDRO, CA 94577(510) 626-2800(302) 255-4452 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fatima Siddiqui M.d. NPPES

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

FATIMA SIDDIQUI M.D. (NPI 1629331053) is an individual psychiatry provider in San Leandro, California, licensed in Delaware (C7-0005060) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1629331053
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameFATIMA SIDDIQUICredential: M.D.
Location Address777 DAVIS STSan Leandro, CA 94577-6923
Mailing Address777 Davis StSan Leandro, CA 94577-6923 · (510) 626-2800
Phone(510) 626-2800
Fax(302) 255-4452
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 20, 2012
Last NPPES UpdateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1629331053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in DE · C7-0005060
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
777 DAVIS ST, San Leandro, CA 94577
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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

Fatima 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 ID8820379738
PECOS Enrollment IDI20231219003629
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.

Medicare Billing Reassignment

Medicare enrollment records show Fatima Siddiqui reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
16 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94577 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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 20

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

LEEMORE FEDERMAN
Social Worker (Clinical)
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (415) 578-0791
VERONICA RODRIGUES
Day Training/Habilitation Specialist
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 746-2800
MR. JOHN CHARLES ROEDEL LMFT
Marriage & Family Therapist
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (513) 400-5460
DR. BETHANY FRIEDMAN PSY.D.
Psychologist (Clinical)
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 626-2800
CRISTINA MARIA CARRILLO
Rehabilitation Practitioner
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (415) 656-0116
MARY TIEH
Day Training/Habilitation Specialist
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 609-2854
JONATHAN MAX BLOCH
Social Worker
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 839-3800
DENNYS MONTOYA
Rehabilitation Practitioner
777 DAVIS ST
SAN LEANDRO, CA 94577
Alameda County (510) 839-3800

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 Fatima Siddiqui's NPI number?

The NPI number for Fatima Siddiqui is 1629331053. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Fatima Siddiqui located?

Fatima Siddiqui practices at 777 Davis St, San Leandro, CA 94577. The listed phone number is (510) 626-2800.

What is Fatima Siddiqui's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Fatima Siddiqui enrolled in Medicare?

Yes. Fatima 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 organization bills Medicare for Fatima Siddiqui's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fatima Siddiqui reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The 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 Fatima Siddiqui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fatima Siddiqui was last updated on September 21, 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.