MARIAM TAHIR SIDDIQUI BDS, MS
NPI 1912585126
Dentist - Orofacial Pain in Ann Arbor, MI

Q: What is Mariam Siddiqui's NPI number?

The NPI number for Mariam Siddiqui is 1912585126. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Q: What is Mariam Siddiqui's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Q: When was this NPI record last updated?

The NPPES record for Mariam Siddiqui was last updated on March 28, 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.

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment

1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(763) 936-3940(734) 936-3923 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2023, Jun 9, 2022, Mar 30, 2021 (3 updates tracked since 2021).

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About Mariam Tahir Siddiqui Bds, Ms NPPES

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

MARIAM TAHIR SIDDIQUI BDS, MS (NPI 1912585126) is an individual orofacial pain provider in Ann Arbor, Michigan, licensed in Michigan (2952000810) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1912585126

Entity TypeIndividualFemale

Primary Taxonomy1223X2210X

Provider Legal NameMARIAM TAHIR SIDDIQUICredential: BDS, MS

Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000

Mailing Address18500 County Road 6Plymouth, MN 55447-2531 · (612) 735-0950

Phone(763) 936-3940

Fax(734) 936-3923

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 30, 2021

Last NPPES UpdateMarch 28, 20233 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1912585126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orofacial PainDental Providers

Taxonomy Code1223X2210X

Licenses✔ Licensed in MI · 2952000810✔ Licensed in MN · S167

Definition

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License S-167 (MN), 2952000810 (MI)

1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mariam Tahir Siddiqui Bds, Ms 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 ID5890185854

PECOS Enrollment IDI20211206001704

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOKMAN SUNG MD

Pathology (Forensic Pathology)

1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109

Washtenaw County (800) 862-7284

SAMEER DEV SAINI M.D.

Internal Medicine (Gastroenterology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KYLE DAVID PERRY MD

Pathology (Cytopathology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

DR. DAVID ALEXANDER STEWART M.D.

Pediatrics

1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109

Washtenaw County (734) 763-5302

DR. MICHAEL EDMUND WATSON MD

Pediatrics (Pediatric Infectious Diseases)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

CARRIE KRAEGER PORTER PA-C

Physician Assistant

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-6666

DENISE LYNN BERRY CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KETTI SOPHIA PETERSEN MD

Family Medicine (Hospice and Palliative Medicine)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

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 Mariam Siddiqui's NPI number?

The NPI number for Mariam Siddiqui is 1912585126. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Mariam Siddiqui located?

Mariam Siddiqui practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (763) 936-3940.

What is Mariam Siddiqui's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Mariam Siddiqui enrolled in Medicare?

Yes. Mariam Siddiqui 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.

What insurance does Mariam Siddiqui accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Mariam Siddiqui 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.

When was this NPI record last updated?

The NPPES record for Mariam Siddiqui was last updated on March 28, 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.