Dr Talha Siddiqui, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Alexandria, Virginia. He graduated from medical school in 1989 and has 36 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Old Dominion Anesthesia Llc and his current practice location is
6164 Fuller Ct, Alexandria, Virginia. You can reach out to his office (for appointments etc.) via phone at
(571) 257-9580.
Dr Talha Siddiqui is licensed to practice in Virginia (license number 0101233817) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013928142.
Physician's Profile
| Full Name | Dr Talha Siddiqui |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 36 Years |
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| Location | 6164 Fuller Ct, Alexandria, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Talha Siddiqui graduated from medical school in 1989
NPI Data:
- NPI Number: 1013928142
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 05/05/2017
Medicare PECOS Information:
- PECOS PAC ID: 9830138429
- Enrollment ID: I20080228000064
Medical Identifiers
Medical identifiers for Dr Talha Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013928142 | NPI | - | NPPES |
| 1013928142 | Medicaid | VA | |
| 1548443153 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 0101233817 (Virginia) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 0101233817 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Old Dominion Anesthesia Llc | 8820462765 | 47 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Talha Siddiqui allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Assoc Of Maryland |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437464120 PECOS PAC ID: 7012106610 Enrollment ID: O20110113000308 |
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| Entity Name | Old Dominion Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902248677 PECOS PAC ID: 8820462765 Enrollment ID: O20240227002876 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Talha Siddiqui is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Talha Siddiqui, MD 6164 Fuller Ct, Alexandria, VA 22310-2540 Ph: (571) 257-9580 | Dr Talha Siddiqui, MD 6164 Fuller Ct, Alexandria, VA 22310-2540 Ph: (571) 257-9580 |
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