DR. KHAWAJA ASIM SIDDIQUE MD
NPI 1750636635
Family Medicine in Glen Cove, NY

Active since July 17, 2012PECOS Enrolled
235 FOREST AVE, GLEN COVE, NY 11542(516) 671-7770(516) 671-6372 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1750636635
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KHAWAJA ASIM SIDDIQUECredential: MD
Location Address235 FOREST AVEGlen Cove, NY 11542-2034
Mailing Address235 Forest AveGlen Cove, NY 11542-2034 · (516) 671-7770 · Fax (516) 671-6372
Fax(516) 671-6372
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 17, 2012
Last NPPES UpdateMay 24, 2025
NPPES CertifiedMay 24, 2025
✔ NPI 1750636635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 280349
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedIntegrative MedicineTaxonomy 202D00000X · License 280349 (NY)
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X · License 280349 (NY)
235 FOREST AVE, Glen Cove, NY 11542

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).

PECOS PAC ID345556718
PECOS Enrollment IDI20150831001354
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.

Medicare Billing Reassignments

8

Medicare 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.

Same address
Integrative Medicine
235 FOREST AVE
Glen Cove, NY 11542
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
Family Medicine
235 FOREST AVE
Glen Cove, NY 11542
  • Reassigned Medicare billing, New York enrollment
Urgent Care
2200 NORTHERN BLVD STE 121
Greenvale, NY 11548
  • Reassigned Medicare billing, New York enrollment
  • 596 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Primary Care
140A MARINE ST
Farmingdale, NY 11735
  • Reassigned Medicare billing, New York enrollment
  • 48 clinicians in this Medicare group
General Practice
474 OVINGTON AVE
Brooklyn, NY 11209
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: American Medical Today PC
  • 28 clinicians in this Medicare group
Hospitalist
1300 ROANOKE AVE
Riverhead, NY 11901
  • Reassigned Medicare billing, New York enrollment
  • 134 clinicians in this Medicare group
Urgent Care
11985 ATLANTIC BOULEVARD
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
429 services418 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
424 services96 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
231 services146 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
175 services120 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
165 services77 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
157 services155 patients

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, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Physician 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Integrative Medicine
235 FOREST AVE
GLEN COVE, NY 11542
Internal Medicine
235 FOREST AVE
GLEN COVE, NY 11542
Internal Medicine
235 FOREST AVE
GLEN COVE, NY 11542
Clinic/Center (Primary Care)
235 FOREST AVE
GLEN COVE, NY 11542
Physician Assistant
235 FOREST AVE
GLEN COVE, NY 11542
Family Medicine
235 FOREST AVE
GLEN COVE, NY 11542

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.