DR. FASIH SAMI SIDDIQUI M.D.
NPI 1700349164
Internal Medicine - Pulmonary Disease in Staten Island, NY
About Dr. Fasih Sami Siddiqui M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FASIH SAMI SIDDIQUI M.D. (NPI 1700349164) is an individual pulmonary disease provider in Staten Island, New York, licensed in Kentucky (61853) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains a secondary practice location in Ashland.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Dr. Fasih Sami 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.
Medicare Billing Reassignment
Medicare enrollment records show Fasih Sami Siddiqui reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ashland, KY 41101
- Reassigned Medicare billing, Kentucky enrollment
- Medicare enrollment name: Kings Daughters Medical Specialties Inc
- 531 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
King's Daughters' Medical Center
Acute Care Hospitals · Ashland, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
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 Fasih Sami Siddiqui's NPI number?
The NPI number for Fasih Sami Siddiqui is 1700349164. It was assigned to this individual provider in the NPPES registry on April 11, 2019.
Where is Fasih Sami Siddiqui located?
Fasih Sami Siddiqui practices at 475 Seaview Avenue, Staten Island, NY 10305. The listed phone number is (718) 226-8313.
What is Fasih Sami Siddiqui's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Fasih Sami Siddiqui enrolled in Medicare?
Yes. Fasih Sami 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 Fasih Sami Siddiqui's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fasih Sami Siddiqui reassigns Medicare benefits to King's Daughters Medical Specialties, Inc. (Ashland, KY). 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 Fasih Sami Siddiqui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fasih Sami Siddiqui accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Fasih Sami 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 Fasih Sami Siddiqui affiliated with any hospitals?
According to CMS data, Fasih Sami Siddiqui is affiliated with King's Daughters' Medical Center.
When was this NPI record last updated?
The NPPES record for Fasih Sami Siddiqui was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Dr. Fasih Sami Siddiqui, M.D. · NPI 1700349164
Pulmonary Disease physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since April 11, 2019.
## Identity
- **NPI:** 1700349164 (Entity type: Individual)
- **Enumerated:** April 11, 2019
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 61853 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 475 SEAVIEW AVENUE, Staten Island, NY 10305
- **Phone:** (718) 226-8313
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** King's Daughters Medical Specialties, Inc. (NPI 1033871447, Ashland, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700349164) · Data from the CMS NPPES public registry.