DR. KHAWAJA ASIM SIDDIQUE MD
NPI 1750636635
Family Medicine in Glen Cove, NY
About Dr. Khawaja Asim Siddique Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KHAWAJA ASIM SIDDIQUE MD (NPI 1750636635) is an individual family medicine provider in Glen Cove, New York, licensed in New York (280349) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Northwell Hospital Glen Cove, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Khawaja Asim Siddique Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
8Medicare enrollment records show Khawaja Siddique reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glen Cove, NY 11542
- Reassigned Medicare billing, New York enrollment
- 3 clinicians in this Medicare group
Glen Cove, NY 11542
- Reassigned Medicare billing, New York enrollment
Greenvale, NY 11548
- Reassigned Medicare billing, New York enrollment
- 596 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Farmingdale, NY 11735
- Reassigned Medicare billing, New York enrollment
- 48 clinicians in this Medicare group
Brooklyn, NY 11209
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: American Medical Today PC
- 28 clinicians in this Medicare group
Riverhead, NY 11901
- Reassigned Medicare billing, New York enrollment
- 134 clinicians in this Medicare group
Jacksonville, FL 32225
- Reassigned Medicare billing, Florida enrollment
- 96 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 44
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwell Hospital Glen Cove
Acute Care Hospitals · Glen Cove, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11542 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 6
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 Khawaja Siddique's NPI number?
The NPI number for Khawaja Siddique is 1750636635. It was assigned to this individual provider in the NPPES registry on July 17, 2012.
Where is Khawaja Siddique located?
Khawaja Siddique practices at 235 Forest Ave, Glen Cove, NY 11542. The listed phone number is (516) 671-7770.
What is Khawaja Siddique's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Khawaja Siddique enrolled in Medicare?
Yes. Khawaja Siddique is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Khawaja Siddique's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khawaja Siddique reassigns Medicare benefits to 8 organizations: 787 Medical PC (Glen Cove, NY), Crescent Integrative Medical PLLC (Glen Cove, NY), City Medical Of Upper East Side PLLC (Greenvale, NY), North Shore-Lij Medical PC (Great Neck, NY), Kim Medical Of New York PLLC (Farmingdale, NY) and 3 more organizations, listed in the Medicare section above. 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 Khawaja Siddique's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Khawaja Siddique affiliated with any hospitals?
According to CMS data, Khawaja Siddique is affiliated with Northwell Hospital Glen Cove.
When was this NPI record last updated?
The NPPES record for Khawaja Siddique was last updated on May 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.