SARTAJ KADIWALA SIDDIQUI D.O.
NPI 1942468541
Pediatrics - Neonatal-Perinatal Medicine in Victoria, TX

Active since May 30, 2008PECOS EnrolledAccepts Medicare Assignment
101 MEDICAL DR, VICTORIA, TX 77904(856) 782-2212(856) 782-2266 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 21, 2021, Apr 17, 2018 (2 updates tracked since 2018).

About Sartaj Kadiwala Siddiqui D.o. NPPES

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

SARTAJ KADIWALA SIDDIQUI D.O. (NPI 1942468541) is an individual neonatal-perinatal medicine provider in Victoria, Texas, licensed in Texas (P7475) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1942468541
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameSARTAJ KADIWALA SIDDIQUICredential: D.O.
Location Address101 MEDICAL DRVictoria, TX 77904-3102
Mailing Address1000 Haddonfield Berlin Rd Ste 210Voorhees, NJ 08043-3520 · (856) 782-2212 · Fax (856) 782-2266
Fax(856) 782-2266
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMay 30, 2008
Last NPPES UpdateOctober 21, 20212 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
✔ NPI 1942468541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in TX · P7475
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License OS11312 (FL)
101 MEDICAL DR, Victoria, TX 77904

Secondary Practice Location 1

Location 11500 S Main StFort Worth, TX 76104-4917 · Phone (817) 702-1166 · Fax (817) 702-1405

Other Identifiers 4

Medicaid003652900FL
Other14E5QFL · Bcbsfl
Medicaid3664609TX
Medicaid003110020AGA

Accepted 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

Sartaj Kadiwala Siddiqui D.o. 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 ID8921276593
PECOS Enrollment IDI20131206000113
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

4

Medicare enrollment records show Sartaj Siddiqui reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neonatal-Perinatal Medicine
2929 WOODLAND PARK DR
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 508 clinicians in this Medicare group
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
Neonatal-Perinatal Medicine
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 432 clinicians in this Medicare group
Internal Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 985 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.

Other Providers at the Same Location NPPES 4

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

Psychiatric Unit
101 MEDICAL DR
VICTORIA, TX 77904
Pediatrics (Neonatal-Perinatal Medicine)
101 MEDICAL DR
VICTORIA, TX 77904
Emergency Medicine
101 MEDICAL DR
VICTORIA, TX 77904
Registered Nurse
101 MEDICAL DR
VICTORIA, TX 77904

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 Sartaj Siddiqui's NPI number?

The NPI number for Sartaj Siddiqui is 1942468541. It was assigned to this individual provider in the NPPES registry on May 30, 2008.

Where is Sartaj Siddiqui located?

Sartaj Siddiqui practices at 101 Medical Dr, Victoria, TX 77904. The listed phone number is (856) 782-2212.

What is Sartaj Siddiqui's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Sartaj Siddiqui enrolled in Medicare?

Yes. Sartaj 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.

Which organizations bill Medicare for Sartaj Siddiqui's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sartaj Siddiqui reassigns Medicare benefits to 4 organizations: Pediatrix Medical Group Of Texas Billing, Inc. (Houston, TX), Texas Children's Physician Group (Houston, TX), Magella Medical Associates Billing, Inc. (Round Rock, TX) and Acclaim Physician Group, Inc (Fort Worth, TX). 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 Sartaj Siddiqui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sartaj Siddiqui accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 9 other insurers list Sartaj 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 Sartaj Siddiqui was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.