TAHIR SIDDIQ (M.D.) – Specialist, NPI 1174631758

TAHIR SIDDIQ (M.D.) is a healthcare provider. based in Union springs, Alabama. specializing in INTERNAL MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 19681 (AL). The NPI Number for TAHIR SIDDIQ (M.D.) is 1174631758

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
TAHIR SIDDIQ (M.D.)
NPI
1174631758
Phone
(469) 530-4932
Address
102 CONECUH AVE W
Enumeration Date
25 August 2006
Last Update Date
13 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347381499
Graduation Year
1984 (42 years ago)
PAC ID
6800860396
Group Practice PAC ID
5597748350
Professional Enrollment ID
I20111017000321
Address ID
AL360891417UN308XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,215 INTERNAL MEDICINE in AL

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Provider Addresses for TAHIR SIDDIQ (M.D.)

  • Conecuh Avenue West, Union Springs, Bullock County, Alabama, 36089, United States

    UNION SPRINGS, AL 360891303

    Phone: (469) 530-4932

    Fax: (469) 257-3501

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($69).

Total Amount

$69

General + Research + Ownership

Payments

4

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111017000321IInternal MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3,196123$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes26198$0
99316Nursing facility discharge management, more than 30 minutes9764$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes4436$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3931$0
View full utilization report →

Insurance plans in this area (ZIP 36089)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597748350View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineAL
Emergency MedicineAL
Emergency MedicineGA
Family PracticeAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

How is TAHIR SIDDIQ (M.D.) identified in CMS data?
CMS-hosted NPPES data lists TAHIR SIDDIQ (M.D.) with NPI 1174631758.
Is TAHIR SIDDIQ (M.D.) listed as active for patients and plans?
The listing shows TAHIR SIDDIQ (M.D.) as active in the NPI system.
What taxonomy line describes TAHIR SIDDIQ (M.D.)?
For research purposes, treat TAHIR SIDDIQ (M.D.) as Other Service Providers in this dataset. Clinical services aligned with this taxonomy classification.
What area does TAHIR SIDDIQ (M.D.) serve?
TAHIR SIDDIQ (M.D.)'s listing highlights Union Springs, Alabama; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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