| Shazia Meraj Siddiqui, MD | |
|
770 Park East Blvd, Suite B, Lafayette, IN 47905 | |
| (765) 714-4344 | |
| (765) 838-3200 |
| Full Name | Shazia Meraj Siddiqui |
|---|---|
| Gender | Female |
| Speciality | Interventional Pain Management |
| Experience | 10 Years |
| Location | 770 Park East Blvd, Lafayette, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629001680 | NPI | - | NPPES |
| 201148960 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 01059790A (Indiana) | Primary |
| 207L00000X | Anesthesiology | 01059790A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pulaski Memorial Hospital | Winamac, IN | Hospital |
| Memorial Hospital | Logansport, IN | Hospital |
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | Hospital |
| Indiana University Health Starke Hospital | Knox, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lafayette Pain Care, P.c. | 3678728680 | 10 |
| Entity Name | Pulaski Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306928213 PECOS PAC ID: 3173515509 Enrollment ID: O20071214000021 |
| Entity Name | Lafayette Pain Care, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205189594 PECOS PAC ID: 3678728680 Enrollment ID: O20130223000069 |
| Entity Name | Lpc Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1447612114 PECOS PAC ID: 3072893981 Enrollment ID: O20161212002163 |
| Mailing Address | Practice Location Address |
|---|---|
| Shazia Meraj Siddiqui, MD Po Box 5748, Lafayette, IN 47903-5748 Ph: (765) 714-4344 | Shazia Meraj Siddiqui, MD 770 Park East Blvd, Suite B, Lafayette, IN 47905 Ph: (765) 714-4344 |
Robert O Bigler, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl, Suite 355, Lafayette, IN 47905 Phone: 765-807-7988 Fax: 765-807-7989 | |
Dr. David W Kelley, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Mussart K Chaudhry, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-446-4695 | |
Sunita Tiku Kaul, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 | |
Dr. Jan Fisher, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2400 South St, Lafayette, IN 47904 Phone: 765-449-3090 | |
Gabriel Salamie, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-446-4695 | |
Dr. Christopher Robert Lee, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4917 Fax: 765-502-4023 |