Omer Asif Siddiqui, MD in Memphis, TN

Omer Asif Siddiqui, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Memphis, Tennessee. He graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Ut Medical Group Inc, Ut Medical Group Inc and his current practice location is 1325 Eastmoreland Ave Ste 445, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 866-8810.

Omer Asif Siddiqui is licensed to practice in Tennessee (license number 46512) 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 1659577278.

Contact Information

	Omer Asif Siddiqui, MD
	1325 Eastmoreland Ave Ste 445, Memphis, TN 38104-7536
	(901) 866-8810
	(901) 302-2450

Map and Direction

Physician's Profile

Full Name	Omer Asif Siddiqui
Gender	Male
Speciality	Nephrology
Experience	15 Years
Location	1325 Eastmoreland Ave Ste 445, Memphis, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Omer Asif Siddiqui graduated from medical school in 2010

NPI Data:

NPI Number: 1659577278
Provider Enumeration Date: 06/21/2007
Last Update Date: 07/09/2025

Medicare PECOS Information:

PECOS PAC ID: 6305030768
Enrollment ID: I20110616000804

Medical Identifiers

Medical identifiers for Omer Asif Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659577278	NPI	-	NPPES
03001574	Medicaid	MS
1524078	Medicaid	TN
187456001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	23721 (Mississippi)	Secondary
207R00000X	Internal Medicine	E6551 (Arkansas)	Secondary
207R00000X	Internal Medicine	46512 (Tennessee)	Secondary
207RN0300X	Internal Medicine - Nephrology	46512 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nra-memphis (south)	Memphis, TN	Dialysis facility
Rcg Southaven	Southaven, MS	Dialysis facility
Satellite Healthcare Chickasaw Gardens, Llc	Memphis, TN	Dialysis facility
Heckscher Dialysis, Llc	Germantown, TN	Dialysis facility
Baptist Memorial Hospital	Memphis, TN	Hospital
St Francis Hospital	Memphis, TN	Hospital
Methodist Healthcare - Olive Branch Hospital	Olive branch, MS	Hospital
Methodist Healthcare Memphis Hospitals	Memphis, TN	Hospital
Baptist Memorial Hospital Desoto	Southaven, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ut Medical Group Inc	3173435369	80
Ut Medical Group Inc	3173435369	80

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. Omer Asif Siddiqui allows following entities to bill medicare on his behalf.

Entity Name	Ut Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780676650 PECOS PAC ID: 3173435369 Enrollment ID: O20031105000384

Entity Name	Baptist Memorial Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20040218000385

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571

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. Omer Asif 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
Omer Asif Siddiqui, MD 1068 Cresthaven Rd Ste 300, Memphis, TN 38119-0809 Ph: (901) 866-8748	Omer Asif Siddiqui, MD 1325 Eastmoreland Ave Ste 445, Memphis, TN 38104-7536 Ph: (901) 866-8810

Reviews and Comments

Internal Medicine Doctors in Memphis, TN

Khawaja Muhammad Muddassir, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave, Suite 370, Memphis, TN 38104 Phone: 901-758-7888 Fax: 901-387-5153
Allison Montague, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1955 S 3rd St, Memphis, TN 38109 Phone: 901-515-5800
Daniel David Austin, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6799 Great Oaks Rd Ste 200, Memphis, TN 38138 Phone: 901-259-0090 Fax: 901-259-0091
Dr. Marcia Bradford, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 360 E Eh Crump Blvd, Memphis, TN 38126 Phone: 901-261-2000 Fax: 901-946-9262
Dr. Aleksandar Jankov, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd, Suite 301, Memphis, TN 38120 Phone: 901-747-9081 Fax: 901-747-9087
Manoj K Jain, MD, MPH Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd Ste 209, Memphis, TN 38120 Phone: 901-681-0778 Fax: 901-821-9987
Dr. Karl Weber, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 Fax: 901-545-4739

Omer Asif Siddiqui, MD - Medicare Nephrology in Memphis, TN