DR. SHAGUFTA P SIDDIQUI MD
NPI 1710996863
Internal Medicine in Little Rock, AR
About Dr. Shagufta P Siddiqui Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAGUFTA P SIDDIQUI MD (NPI 1710996863) is an individual internal medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-2003) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shagufta P Siddiqui Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Shagufta Siddiqui reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72211
- Reassigned Medicare billing, Arkansas enrollment
- 12 clinicians in this Medicare group
Pine Bluff, AR 71603
- Reassigned Medicare billing, Arkansas enrollment
- 58 clinicians in this Medicare group
Russellville, AR 72801
- Reassigned Medicare billing, Arkansas enrollment
- Medicare enrollment name: St Marys Physician Services LLC
- 136 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72205 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, MD 72205
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 Shagufta Siddiqui's NPI number?
The NPI number for Shagufta Siddiqui is 1710996863. It was assigned to this individual provider in the NPPES registry on August 7, 2006. The provider is also known as Dr. Shagufta P Tahir Mbbs.
Where is Shagufta Siddiqui located?
Shagufta Siddiqui practices at 4300 West 7th Street VA Medical Center, Little Rock, AR 72205. The listed phone number is (501) 257-5050.
What is Shagufta Siddiqui's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shagufta Siddiqui enrolled in Medicare?
Yes. Shagufta Siddiqui is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shagufta Siddiqui's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shagufta Siddiqui reassigns Medicare benefits to 3 organizations: Arkansas Pain Care Clinics, PA (Little Rock, AR), Southeast Arkansas Hospitalists, LLP (Pine Bluff, AR) and St Mary's Physician Services LLC (Russellville, AR). Each 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 Shagufta 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 Shagufta Siddiqui was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Shagufta P Siddiqui, MD · NPI 1710996863
Internal Medicine physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since August 7, 2006.
## Identity
- **NPI:** 1710996863 (Entity type: Individual)
- **Enumerated:** August 7, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** E-2003 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4300 WEST 7TH STREET, VA MEDICAL CENTER, Little Rock, AR 72205
- **Phone:** (501) 257-5050 · **Fax:** (501) 257-5071
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Arkansas Pain Care Clinics, PA (NPI 1780151738, Little Rock, AR); Southeast Arkansas Hospitalists, LLP (NPI 1912374018, Pine Bluff, AR); St Mary's Physician Services LLC (NPI 1124084991, Russellville, AR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN VADOO
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Source: [NPI Profile](https://npiprofile.com/npi/1710996863) · Data from the CMS NPPES public registry.