Mohammed Abdul Khadar Siddiqui, DO - Medicare Pediatrics in Salem, VA

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Mohammed Abdul Khadar Siddiqui, DO is a medicare enrolled "Pediatrics" physician in Salem, Virginia. His current practice location is 1802 Braeburn Dr, Salem, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 772-3580.

Mohammed Abdul Khadar Siddiqui is licensed to practice in Virginia (license number 0102205592) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508228669.

Contact Information

Mohammed Abdul Khadar Siddiqui, DO
1802 Braeburn Dr,
Salem, VA 24153-7357
(540) 772-3580
(540) 725-5012

Map and Direction




Physician's Profile

Full NameMohammed Abdul Khadar Siddiqui
GenderMale
SpecialityPediatrics
Location1802 Braeburn Dr, Salem, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508228669
  • Provider Enumeration Date: 03/28/2016
  • Last Update Date: 02/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820382328
  • Enrollment ID: I20220809001212

Medical Identifiers

Medical identifiers for Mohammed Abdul Khadar Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508228669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0102205592 (Virginia)Primary

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. Mohammed Abdul Khadar Siddiqui allows following entities to bill medicare on his behalf.
Entity NameSsm Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586174
PECOS PAC ID: 7810800737
Enrollment ID: O20031118000393
Entity NameSsm Cardinal Glennon Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174577670
PECOS PAC ID: 7012828163
Enrollment ID: O20031231000604
Entity NamePhelps County Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891766051
PECOS PAC ID: 2860391158
Enrollment ID: O20040106000405
Entity NamePcrmc Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124237227
PECOS PAC ID: 1557454063
Enrollment ID: O20070829000437

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. Mohammed Abdul Khadar 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 AddressPractice Location Address
Mohammed Abdul Khadar Siddiqui, DO
2000 Health Park Dr Fl Hp2,
Brentwood, TN 37027-4525

Ph: (615) 373-7600		Mohammed Abdul Khadar Siddiqui, DO
1802 Braeburn Dr,
Salem, VA 24153-7357

Ph: (540) 772-3580

Reviews and Comments


Pediatrics Doctors in Salem, VA

Mr. William Christopher Thomsen Jr.,
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1641 Millwood Dr, Salem, VA 24153
Phone: 434-907-3296    
Dr. John William Bouldin, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1802 Braeburn Dr, Salem, VA 24153
Phone: 540-772-3580    Fax: 540-725-5012
Dr. Russell Delaney, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1802 Braeburn Dr, Salem, VA 24153
Phone: 540-772-3580    Fax: 540-725-5012
Dr. Lauren Good, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1802 Braeburn Dr, Salem, VA 24153
Phone: 540-772-3580    Fax: 540-725-5012
Dr. Robert Payne, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1802 Braeburn Dr, Salem, VA 24153
Phone: 540-772-3580    Fax: 540-725-5012
Dr. Joyce Cummings, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1802 Braeburn Dr, Salem, VA 24153
Phone: 540-772-3580    Fax: 540-725-5012

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.