| Mr Mohamad Zia Siddiqui, DO | |
|
6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200 | |
| (972) 249-0206 | |
| Not Available |
| Full Name | Mr Mohamad Zia Siddiqui |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 6451 Brentwood Stair Rd Ste 200, Fort Worth, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568742666 | NPI | - | NPPES |
| 04349060 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 278779 (New York) | Secondary |
| 208M00000X | Hospitalist | 278779-1 (New York) | Secondary |
| 207Q00000X | Family Medicine | S2509 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Heart Hospital Baylor Denton | Denton, TX | Hospital |
| Kindred Transitional Care And Rehabilitation-grape | Grapevine, TX | Nursing home |
| Legend Oaks Health And Rehabilitation - Euless | Euless, TX | Nursing home |
| The Villages On Macarthur | Irving, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Experts Of Texas, P.a. | 0143224170 | 3 |
| Cs Pacs 3 Southwest, Llc | 1254879620 | 27 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Entity Name | Medical Experts Of Texas, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730395989 PECOS PAC ID: 0143224170 Enrollment ID: O20060906000401 |
| Entity Name | Ipc Pac Healthcare Services Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194174201 PECOS PAC ID: 1759676307 Enrollment ID: O20160823000163 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210820003080 |
| Entity Name | Cs Pacs 3 Southwest, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275398430 PECOS PAC ID: 1254879620 Enrollment ID: O20240815004236 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mohamad Zia Siddiqui, DO 5870 N Hiatus Rd, Tamarac, FL 33321-6424 Ph: (888) 447-2362 | Mr Mohamad Zia Siddiqui, DO 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112-3200 Ph: (972) 249-0206 |
Jonathan A Lazarini, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 903-353-2265 | |
Mrs. Adeline Galvez, Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104 Phone: 817-250-4987 | |
Fomundam Newnton Mbuh, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115 Phone: 817-382-0005 | |
Dr. Joane Baumer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104 Phone: 817-335-1034 | |
Evelyn Tobias-merrill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109 Phone: 817-257-7940 Fax: 817-257-7279 | |
Dr. Christian Ann Lance, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 8th Ave Ste 412, Fort Worth, TX 76104 Phone: 817-662-2006 Fax: 817-623-9598 | |
Dr. Michael David Carletti, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-0278 |