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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MUSTAFA SIDDIQ
NPI 1942090006
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since May 10, 2025PECOS Enrolled
9500 EUCLID AVE, CLEVELAND, OH 44195(440) 829-3642 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 29, 2026, May 10, 2025 (2 updates tracked since 2025).

About Mustafa Siddiq NPPES

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

MUSTAFA SIDDIQ (NPI 1942090006) is an individual student in an organized health care education/training program in Cleveland, Ohio, licensed in Ohio (57.257951) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942090006
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMUSTAFA SIDDIQ
Location Address9500 EUCLID AVECleveland, OH 44195-0001
Mailing Address9500 Euclid Ave # Jj24Cleveland, OH 44195-0001 · (216) 444-2200
Phone(440) 829-3642
Sole ProprietorNo
Enumeration DateMay 10, 2025
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1942090006 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
License✔ Licensed in OH · 57.257951
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.
9500 EUCLID AVE, Cleveland, OH 44195
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mustafa Siddiq 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.

MS. MARY COLLEEN RATH R.D., L.D., CNSC
Dietitian, Registered
9500 EUCLID AVE, M17
CLEVELAND, OH 44195
Cuyahoga County (216) 444-6986
DR. CHRISTOPHER F TENGGARDJAJA M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5600
DR. MASATO FUJIKI M.D., PH.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (216) 444-8007
KRISTIN R JOHNSON CNP
Nurse Practitioner
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MONICA LYNN SHEIN CRNA
Nurse Anesthetist, Certified Registered
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MRS. TONYA RENEE GOINGS ACNP-BC
Nurse Practitioner (Acute Care)
9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MS. DANA ANNE RUBIS CNP
Nurse Practitioner (Critical Care Medicine)
9500 EUCLID AVE, G58
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5086
DR. RACHAEL C SULLIVAN M.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (440) 449-1101

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 Mustafa Siddiq's NPI number?

The NPI number for Mustafa Siddiq is 1942090006. It was assigned to this individual provider in the NPPES registry on May 10, 2025.

Where is Mustafa Siddiq located?

Mustafa Siddiq practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (440) 829-3642.

What is Mustafa Siddiq's specialty?

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

Is Mustafa Siddiq enrolled in Medicare?

Yes. Mustafa Siddiq is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mustafa Siddiq was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.