SAFANAH SIDDIQUI
NPI 1679035976
Student in an Organized Health Care Education/Training Program in Charleston, SC

Q: What is Safanah Siddiqui's NPI number?

The NPI number for Safanah Siddiqui is 1679035976. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Q: What is Safanah Siddiqui's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Safanah Siddiqui was last updated on April 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 04, 2019PECOS Enrolled

169 ASHLEY AVE, RM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425(843) 876-4794 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2022, Apr 4, 2019 (2 updates tracked since 2019).

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About Safanah Siddiqui NPPES

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

SAFANAH SIDDIQUI (NPI 1679035976) is an individual student in an organized health care education/training program in Charleston, South Carolina and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1679035976

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAFANAH SIDDIQUI

Location Address169 ASHLEY AVE, RM 202 MAIN HOSPITAL, MSC 333Charleston, SC 29425-1544

Mailing Address169 Ashley Ave, Rm 202 Main Hospital, Msc333Charleston, SC 29425-8905

Phone(843) 876-4794

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 4, 2019

Last NPPES UpdateApril 25, 20222 updates tracked since enumeration

NPPES CertifiedApril 25, 2022

✔ NPI 1679035976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

169 ASHLEY AVE, Charleston, SC 29425

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Safanah Siddiqui is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244562569

PECOS Enrollment IDI20260610000057

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.

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