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SOPHIA SIDDIQI M.D.
NPI 1962794263
Family Medicine in Houston, TX

Active since May 05, 2011PECOS Enrolled
3701 KIRBY DR STE 600, HOUSTON, TX 77098(713) 867-8281 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sophia Siddiqi M.d. NPPES

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

SOPHIA SIDDIQI M.D. (NPI 1962794263) is an individual family medicine provider in Houston, Texas, licensed in Texas (Q3100) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962794263
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSOPHIA SIDDIQICredential: M.D.
Location Address3701 KIRBY DR STE 600Houston, TX 77098-3926
Mailing Address3701 Kirby Dr Ste 600Houston, TX 77098-3926
Phone(713) 867-8281
Sole ProprietorYes
Enumeration DateMay 5, 2011
Last NPPES UpdateFebruary 3, 2015
✔ NPI 1962794263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · Q3100
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3701 KIRBY DR STE 600, Houston, TX 77098
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Siddiqi M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sophia Siddiqi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baylor College Of Medicine
1.8 mi
Internal Medicine
6620 MAIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group
NPI 1104867175 (713) 798-2500
Jackson County Hospital District
90 mi
Rural Health
1013A SOUTH WELLS STREET
Edna, TX 77957
  • Reassigned Medicare billing, Texas enrollment
  • Also billed through NPI 1124061882 (Texas)
  • 100 clinicians in this Medicare group
NPI 1992748693 (361) 782-3560

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77098 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Other Providers at the Same Location NPPES 7

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

MICHAEL ALLEN HANSEN M.D.
Family Medicine
3701 KIRBY DR STE 600
HOUSTON, TX 77098
Harris County (713) 798-0114
KATHERINE BROWNE BUCHANAN M.D.
Pediatrics
3701 KIRBY DR STE 600
HOUSTON, TX 77098
Harris County (713) 798-4491
KENNETH BARNING M.D.
Family Medicine
3701 KIRBY DR STE 600
HOUSTON, TX 77098
Harris County (713) 867-8281
DR. MARTHA ARMSTRONG M.D.
Family Medicine
3701 KIRBY DR STE 600
HOUSTON, TX 77098
Harris County (713) 798-4491
DR. JEFFREY MARK KARNES MD
Student in an Organized Health Care Education/Training Program
3701 KIRBY DR STE 600
HOUSTON, TX 77098
Harris County (713) 798-0114
MOUNICA BOGGALA
Student in an Organized Health Care Education/Training Program
3701 KIRBY DR STE 600
HOUSTON, TX 77098
Harris County (449) 171-3798
DR. SAIRA KHAN M. D.
Pediatrics
3701 KIRBY DR STE 600
HOUSTON, TX 77098
Harris County (713) 798-7748

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 Sophia Siddiqi's NPI number?

The NPI number for Sophia Siddiqi is 1962794263. It was assigned to this individual provider in the NPPES registry on May 5, 2011.

Where is Sophia Siddiqi located?

Sophia Siddiqi practices at 3701 Kirby Dr Ste 600, Houston, TX 77098. The listed phone number is (713) 867-8281.

What is Sophia Siddiqi's specialty?

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

Is Sophia Siddiqi enrolled in Medicare?

Yes. Sophia Siddiqi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sophia Siddiqi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Siddiqi reassigns Medicare benefits to 2 organizations: Baylor College Of Medicine (Houston, TX) and Jackson County Hospital District (Edna, 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 Sophia Siddiqi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Siddiqi accept?

Health plans from Blue Cross and Blue Shield of Texas list Sophia Siddiqi 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 Sophia Siddiqi was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.