Shad Siddiqi, DO - Medicare Pain Management in Southfield, MI

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Shad Siddiqi, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Southfield, Michigan. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice The Porretta Center For Orthopaedic Surgery, Pllc and his current practice location is 22250 Providence Dr Ste 401, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (866) 974-2673.

Shad Siddiqi is licensed to practice in Michigan (license number 5101024603) 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 1154733285.

Contact Information

Shad Siddiqi, DO
22250 Providence Dr Ste 401,
Southfield, MI 48075-6212
(866) 974-2673
(866) 939-2673

Map and Direction




Physician's Profile

Full NameShad Siddiqi
GenderMale
SpecialityPain Management
Experience10 Years
Location22250 Providence Dr Ste 401, Southfield, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shad Siddiqi graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1154733285
  • Provider Enumeration Date: 05/23/2014
  • Last Update Date: 08/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4385951532
  • Enrollment ID: I20190722003565

Medical Identifiers

Medical identifiers for Shad Siddiqi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154733285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 5101024603 (Michigan)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine 5101024603 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Providence Hospital, Southfield And NoviSouthfield, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Porretta Center For Orthopaedic Surgery, Pllc286058554430

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. Shad Siddiqi allows following entities to bill medicare on his behalf.
Entity NameThe Porretta Center For Orthopaedic Surgery, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306818331
PECOS PAC ID: 2860585544
Enrollment ID: O20070911000839

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. Shad Siddiqi 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
Shad Siddiqi, DO
18444 N 25th Ave Ste 310,
Phoenix, AZ 85023-1266

Ph: (866) 974-2673		Shad Siddiqi, DO
22250 Providence Dr Ste 401,
Southfield, MI 48075-6212

Ph: (866) 974-2673

Reviews and Comments


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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.