Imtiyaz A Siddiqui, DO in Middletown, NY - Medicare Internal Medicine

Imtiyaz A Siddiqui, DO is a medicare enrolled "Hospitalist" physician in Middletown, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2008 and has 16 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Crystal Run Healthcare Physicians Llp and his current practice location is 155 Crystal Run Rd, Middletown, New York. You can reach out to his office (for appointments etc.) via phone at (845) 703-6999.

Imtiyaz A Siddiqui is licensed to practice in New York (license number 261387) 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 1518128594.

Contact Information

	Imtiyaz A Siddiqui, DO
	155 Crystal Run Rd, Middletown, NY 10941-4028
	(845) 703-6999
	(845) 703-6297

Map and Direction

Physician's Profile

Full Name	Imtiyaz A Siddiqui
Gender	Male
Speciality	Internal Medicine
Experience	16 Years
Location	155 Crystal Run Rd, Middletown, New York
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:

Imtiyaz A Siddiqui attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2008

NPI Data:

NPI Number: 1518128594
Provider Enumeration Date: 06/22/2008
Last Update Date: 10/15/2020

Medicare PECOS Information:

PECOS PAC ID: 9335312495
Enrollment ID: I20111104000642

Medical Identifiers

Medical identifiers for Imtiyaz A Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518128594	NPI	-	NPPES
03392183	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	261387 (New York)	Secondary
208M00000X	Hospitalist	261387 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Anthony Community Hospital	Warwick, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crystal Run Healthcare Physicians Llp	6901792696	368

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. Imtiyaz A Siddiqui allows following entities to bill medicare on his behalf.

Entity Name	Crystal Run Healthcare Physicians Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952376410 PECOS PAC ID: 6901792696 Enrollment ID: O20040227000791

Entity Name	Newyork-presbyterian-queens
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013960962 PECOS PAC ID: 7315839933 Enrollment ID: O20040329000273

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. Imtiyaz A 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
Imtiyaz A Siddiqui, DO 155 Crystal Run Rd, Middletown, NY 10941-4028 Ph: (845) 703-6999	Imtiyaz A Siddiqui, DO 155 Crystal Run Rd, Middletown, NY 10941-4028 Ph: (845) 703-6999

Reviews and Comments

Hospitalist Doctors in Middletown, NY

Dr. Khin Nge Hnin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-3370 Fax: 845-333-3372
Niranjan K Patel, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297
Ibtesam Khan, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-1000
Dr. Sumeet Smotra, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297
Dr. Miriam Villegas, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297
Dr. Khin May Myat, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-3370 Fax: 845-333-3372
Arpan K Tolia, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297

Imtiyaz A Siddiqui, DO - Medicare Internal Medicine in Middletown, NY