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

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Omer Asif Siddiqui, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Memphis, Tennessee. He graduated from medical school in 2010 and has 16 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, Greenbrook Physician Services, Llc 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 NameOmer Asif Siddiqui
GenderMale
SpecialityNephrology
Experience16 Years
Location1325 Eastmoreland Ave Ste 445, Memphis, Tennessee
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:
  • 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.
IdentifierTypeStateIssuer
1659577278NPI-NPPES
03001574MedicaidMS
1524078MedicaidTN
187456001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 23721 (Mississippi)Secondary
207R00000XInternal Medicine E6551 (Arkansas)Secondary
207R00000XInternal Medicine 46512 (Tennessee)Secondary
207RN0300XInternal Medicine - Nephrology 46512 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Renal Care Group - SouthavenSouthaven, MSDialysis facility
Satellite Dialysis Of Pace RoadMemphis, TNDialysis facility
Baptist Memorial HospitalMemphis, TNHospital
St Francis HospitalMemphis, TNHospital
Methodist Healthcare - Olive Branch HospitalOlive branch, MSHospital
Baptist Memorial Hospital DesotoSouthaven, MSHospital
Methodist Hospitals Of MemphisMemphis, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ut Medical Group Inc317343536998
Ut Medical Group Inc317343536998
Greenbrook Physician Services, Llc559726742770

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 NameUT Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780676650
PECOS PAC ID: 3173435369
Enrollment ID: O20031105000384
Entity NameBaptist Memorial Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306089206
PECOS PAC ID: 5193610228
Enrollment ID: O20040218000385
Entity NameSoutheastern Physician Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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


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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.