KHALEEQ HUSSAIN SIDDIQUI (M.D.) – Gastroenterology Physician, NPI 1174803563
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,981 GASTROENTEROLOGY in CA
Provider Addresses for KHALEEQ HUSSAIN SIDDIQUI (M.D.)
1800 N CALIFORNIA ST
STOCKTON, CA 952046019
Phone: (209) 467-6432
Type: Mailing
40 MITCHELL AVENUE
BINGHAMTON, NY 13903
Phone: (607) 772-0639
Type: Mailing
40 MITCHELL AVE
BINGHAMTON, NY 13903
Phone: (607) 772-0639
Type: Location
3400 DATA DR
ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT
RANCHO CORDOVA, CA 95670
Phone:
Type: Mailing
782 E HARDING WAY
STOCKTON, CA 952046101
Phone: (209) 546-5200
Fax: (209) 466-1982
Type: Location
621 S HAM LN STE A
LODI, CA 952423533
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $306.
Total Amount is formed as General ($306) + Research ($0) + Ownership ($0) = $306.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($129).
Total Amount
$306
General + Research + Ownership
Payments
13
Total payment records
General Amount
$306
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $129 |
| Ardelyx, Inc. | $51 |
| Takeda Pharmaceuticals U.S.A., Inc. | $43 |
| Gilead Sciences, Inc. | $20 |
| Janssen Biotech, Inc. | $17 |
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: 2019-08-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190806004153 | I | Gastroenterology | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 54 | 13 | $0 |
Insurance plans in this area (ZIP 95204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| Interventional Radiology | AZ | |
| - | CA | |
| - | CA | |
| Interventional Radiology, Diagnostic Radiology | TX | |
| - | CA | |
| Diagnostic Radiology | CA | |
| - | CA | |
| General Surgery | CA |
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