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DR. SIDDIQ A FAISAL M.D
NPI 1780797423
Family Medicine in Plainsboro, NJ

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
5 PLAINSBORO ROAD, STE 570, PLAINSBORO, NJ 08536(609) 853-7474(609) 853-7471 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2025, Apr 29, 2021, Jan 18, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Siddiq A Faisal M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIDDIQ A FAISAL M.D (NPI 1780797423) is an individual family medicine provider in Plainsboro, New Jersey, licensed in New Jersey (25MA07961600) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains a secondary practice location in Hamilton.

NPPES Registry Identity

NPI1780797423
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SIDDIQ A FAISALCredential: M.D
Location Address5 PLAINSBORO ROAD, STE 570Plainsboro, NJ 08536-1915
Mailing Address5 Plainsboro Road, Ste 570Plainsboro, NJ 08536-1915 · (609) 853-7474 · Fax (609) 853-7471
Phone(609) 853-7474
Fax(609) 853-7471
Sole ProprietorNo
Medical School CMSSioux City College Of MedicineGraduated 1997
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 1, 20254 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1780797423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA07961600
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.
5 PLAINSBORO ROAD, Plainsboro, NJ 08536
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Secondary Practice Location 1

Location 11445 Whitehorse Mercerville Road, Suite 103Hamilton, NJ 08619 · Phone (609) 587-6661 · Fax (609) 857-8503

Other Identifiers 1

Medicaid0238937NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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. Siddiq A Faisal 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.

PECOS PAC ID8426244583
PECOS Enrollment IDI20101201000595, I20210506000916
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 Siddiq Faisal reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Princeton Healthcare Affiliated Physicians PC
Same address
Internal Medicine
5 PLAINSBORO ROAD, SUITE 300
Plainsboro, NJ 08536
  • Reassigned Medicare billing, New Jersey enrollment
  • 249 clinicians in this Medicare group
NPI 1518194323 (609) 853-7272
Capital Health Medical Group
11 mi
Internal Medicine
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 581 clinicians in this Medicare group
NPI 1437516887 (609) 815-7829
Saint Peter's Healthcare System Physician Associates
14 mi
General Practice
254 EASTON AVE
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 105 clinicians in this Medicare group
NPI 1548569361 (732) 745-6651
Immediate Care Medical Walk-In Of Hazlet, PA
23 mi
Urgent Care
1376 HIGHWAY 36
Hazlet, NJ 07730
  • Reassigned Medicare billing, New Jersey enrollment
  • 142 clinicians in this Medicare group
NPI 1245595313 (732) 264-5500
Urgent Care Physicians Of New Jersey, LLC
28 mi
Emergency Medicine
46 NEWMAN SPRINGS RD E STE F
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 160 clinicians in this Medicare group
NPI 1447622402 (973) 630-8947
Central Jersey Urgent Care
30 mi
Urgent Care
731 HIGHWAY 35, UNIT G
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group
NPI 1316285091 (732) 455-8444
Medexpress Urgent Care, PC - Pennsylvania
40 mi
Urgent Care
30 S WEST END BLVD
Quakertown, PA 18951
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 214 clinicians in this Medicare group
NPI 1801243340 (215) 538-6127
Ucmg LLC
282 mi
Urgent Care
4655 WILLIAM FLYNN HWY STE 110
Allison Park, PA 15101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 190 clinicians in this Medicare group
NPI 1972300622 (412) 486-3027

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.

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.
105 services102 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
14 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08536 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%816 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%998 patients5/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
100%71 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%77 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
94%762 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
79%719 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 77 patients
90%77 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%762 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
59%762 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
57%762 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. DANIELLE LEVIN MD
Anesthesiology (Pain Medicine)
5 PLAINSBORO ROAD
PLAINSBORO, NJ 08536
Middlesex County (732) 447-6552
GARY P FORESTER M.D.
Internal Medicine (Gastroenterology)
5 PLAINSBORO ROAD, SUITE 300
PLAINSBORO, NJ 08536
Middlesex County (609) 853-7272
DAVID B SOKOL M.D.
Internal Medicine (Hematology & Oncology)
5 PLAINSBORO ROAD, SUITE 300
PLAINSBORO, NJ 08536
Middlesex County (609) 853-7272
PATRICK STEPHEN MINOGUE PA-C
Physician Assistant
5 PLAINSBORO ROAD, SUITE 450
PLAINSBORO, NJ 08536
Middlesex County (609) 853-6390
NICOLE MAY DETLET RD
Dietitian, Registered
5 PLAINSBORO ROAD
PLAINSBORO, NJ 08536
Middlesex County (609) 785-5870
DANIELLE JULIA HILL CRNP
Nurse Practitioner (Family)
5 PLAINSBORO ROAD, SUITE 300
PLAINSBORO, NJ 08536
Middlesex County (609) 853-7272
DR. ELLIOT BRETT SAMBOL M.D.
Surgery (Vascular Surgery)
5 PLAINSBORO ROAD, SUITE 400
PLAINSBORO, NJ 08536
Middlesex County (609) 936-9100
DR. ANSHU BHALLA MD
Family Medicine (Geriatric Medicine)
5 PLAINSBORO ROAD, SUITE 275
PLAINSBORO, NJ 08536
Middlesex County (609) 954-3084

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 Siddiq Faisal's NPI number?

The NPI number for Siddiq Faisal is 1780797423. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Siddiq Faisal located?

Siddiq Faisal practices at 5 Plainsboro Road Ste 570, Plainsboro, NJ 08536. The listed phone number is (609) 853-7474.

What is Siddiq Faisal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Siddiq Faisal enrolled in Medicare?

Yes. Siddiq Faisal 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 organizations bill Medicare for Siddiq Faisal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Siddiq Faisal reassigns Medicare benefits to 8 organizations: Princeton Healthcare Affiliated Physicians PC (Plainsboro, NJ), Capital Health Medical Group (Trenton, NJ), Saint Peter's Healthcare System Physician Associates (New Brunswick, NJ), Immediate Care Medical Walk-In Of Hazlet, PA (Hazlet, NJ), Urgent Care Physicians Of New Jersey, LLC (Red Bank, NJ) 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 Siddiq Faisal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Siddiq Faisal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Siddiq Faisal 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 Siddiq Faisal affiliated with any hospitals?

According to CMS data, Siddiq Faisal is affiliated with Morristown Medical Center and Capital Health Medical Center - Hopewell.

When was this NPI record last updated?

The NPPES record for Siddiq Faisal was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.