AYESHA SUNDUS SIDDIQUE MD
NPI 1730617861
Pathology - Anatomic Pathology & Clinical Pathology in Norwich, CT
About Ayesha Sundus Siddique Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AYESHA SUNDUS SIDDIQUE MD (NPI 1730617861) is an individual anatomic pathology & clinical pathology provider in Norwich, Connecticut, licensed in Connecticut (67089) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
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
Ayesha Sundus Siddique Md 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 Ayesha Siddique reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 417 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ayesha Siddique's NPI number?
The NPI number for Ayesha Siddique is 1730617861. It was assigned to this individual provider in the NPPES registry on June 2, 2017.
Where is Ayesha Siddique located?
Ayesha Siddique practices at 105 Wawecus St, Norwich, CT 06360. The listed phone number is (860) 972-6113.
What is Ayesha Siddique's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Ayesha Siddique enrolled in Medicare?
Yes. Ayesha Siddique 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 Ayesha Siddique's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ayesha Siddique reassigns Medicare benefits to Connecticut Gi PLLC (Hartford, CT). 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 Ayesha Siddique'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 Ayesha Siddique was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ayesha Sundus Siddique, MD · NPI 1730617861
Anatomic Pathology & Clinical Pathology physician in Norwich, Connecticut. Individual provider, active in the CMS NPPES registry since June 2, 2017.
## Identity
- **NPI:** 1730617861 (Entity type: Individual)
- **Enumerated:** June 2, 2017
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 67089 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 WAWECUS ST, Norwich, CT 06360-2162
- **Phone:** (860) 972-6113
## 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:** Connecticut Gi PLLC (NPI 1023124625, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1730617861) · Data from the CMS NPPES public registry.