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IBRAHIM SIDDIQUI DO
NPI 1811699549
Student in an Organized Health Care Education/Training Program in Salem, VA

Active since March 20, 2023PECOS Enrolled
1900 ELECTRIC RD, SALEM, VA 24153(540) 776-4000 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ibrahim Siddiqui Do NPPES

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

IBRAHIM SIDDIQUI DO (NPI 1811699549) is an individual student in an organized health care education/training program in Salem, Virginia and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811699549
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIBRAHIM SIDDIQUICredential: DO
Location Address1900 ELECTRIC RDSalem, VA 24153-7474
Mailing Address634 Foxfire RdElizabethtown, KY 42701-9412
Phone(540) 776-4000
Sole ProprietorNo
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1811699549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1900 ELECTRIC RD, Salem, VA 24153
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ibrahim Siddiqui Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

VISTA RADIOLOGY CONSULTANTS
Radiology (Vascular & Interventional Radiology)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (813) 210-3319
JENNA LYNN POLLOCK
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
ACUTE SURGICAL CARE SPECIALISTS OF VIRGINIA, LLC
Surgery (Trauma Surgery)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
MARK D HAMILTON M.D.
Anesthesiology
1900 ELECTRIC RD, ANESTHESIA DEPARTMENT
SALEM, VA 24153
Salem City (540) 776-4000
MITCHELL SIMPSON CROWE DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
SHEHRYAR KHANZADA DO
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 444-4817
DISHABEN BHARATKUMAR PATEL
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 761-8027
KRISTIN MIRENDA CRNA
Nurse Anesthetist, Certified Registered
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 493-4581

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 Ibrahim Siddiqui's NPI number?

The NPI number for Ibrahim Siddiqui is 1811699549. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Ibrahim Siddiqui located?

Ibrahim Siddiqui practices at 1900 Electric Rd, Salem, VA 24153. The listed phone number is (540) 776-4000.

What is Ibrahim Siddiqui's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ibrahim Siddiqui enrolled in Medicare?

Yes. Ibrahim Siddiqui is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ibrahim Siddiqui was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.