Khaleeq Hussain Siddiqui, MD in Lodi, CA - Medicare Internal Medicine

Khaleeq Hussain Siddiqui, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Lodi, California. His current practice location is 621 S Ham Ln Ste A, Lodi, California. You can reach out to his office (for appointments etc.) via phone at (209) 334-8514.

Khaleeq Hussain Siddiqui is licensed to practice in California (license number C161602) 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 1174803563.

Contact Information

	Khaleeq Hussain Siddiqui, MD
	621 S Ham Ln Ste A, Lodi, CA 95242-3533
	(209) 334-8514
	Not Available

Map and Direction

Physician's Profile

Full Name	Khaleeq Hussain Siddiqui
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	621 S Ham Ln Ste A, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174803563
Provider Enumeration Date: 08/17/2011
Last Update Date: 05/13/2025

Medicare PECOS Information:

PECOS PAC ID: 0345577854
Enrollment ID: I20190806004153

Medical Identifiers

Medical identifiers for Khaleeq Hussain Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174803563	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	C161602 (California)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	C161602 (California)	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. Khaleeq Hussain Siddiqui allows following entities to bill medicare on his behalf.

Entity Name	Adventist Health Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633

Entity Name	Lodi Memorial Hospital Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861649352 PECOS PAC ID: 7618880717 Enrollment ID: O20050517000577

Entity Name	Inpatient Specialists Of California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952792475 PECOS PAC ID: 3476864448 Enrollment ID: O20150617000915

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. Khaleeq Hussain 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
Khaleeq Hussain Siddiqui, MD 621 S Ham Ln Ste A, Lodi, CA 95242-3533 Ph: () -	Khaleeq Hussain Siddiqui, MD 621 S Ham Ln Ste A, Lodi, CA 95242-3533 Ph: (209) 334-8514

Reviews and Comments

Internal Medicine Doctors in Lodi, CA

Frank T Huang, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1235 W Vine St, Suite 22, Lodi, CA 95240 Phone: 209-334-8520 Fax: 209-334-2109
Harpreet Singh Parmar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave Ste 130, Lodi, CA 95240 Phone: 209-366-2001
Dr. Ghaus M Malik, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 12945 N Highway 88, Lodi, CA 95240 Phone: 209-334-3923 Fax: 209-334-3985
Dr. Than Soe, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2415 W Vine St Ste 105, Lodi, CA 95242 Phone: 209-333-3121
Mani Mahdyoon, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 845 S Fairmont Ave Ste 5, Lodi, CA 95240 Phone: 209-366-2360 Fax: 209-366-2352
Shefali Dwarkanath Awatani, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-3411 Fax: 209-368-3121

Khaleeq Hussain Siddiqui, MD - Medicare Internal Medicine in Lodi, CA