IMRAN A SIDDIQUI (M.D.) – Surgery Physician, NPI 1235389875
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
525 GENERAL SURGERY in CT
Provider Addresses for IMRAN A SIDDIQUI (M.D.)
2800 Main St
Bridgeport, CT 066064201
Phone: (203) 576-6141
Type: Location
501 Saunders Ave Ste 320
Tyler, TX 757027524
Phone: (903) 606-5140
Type: Location
Daniel T Banks Health Science Library, 2800, Main Street, Bridgeport, Fairfield County, Connecticut, 06606, United States
SURGERY DEPT
BRIDGEPORT, CT 066065302
Phone: (203) 696-3545
Fax: (203) 581-6509
Type: Mailing
1400 S ORANGE AVE
ORLANDO, FL 328062134
Phone: (321) 842-9097
Fax: (321) 841-1296
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $10,422.
Total Amount is formed as General ($10,422) + Research ($0) + Ownership ($0) = $10,422.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($4,800).
Total Amount
$10,422
General + Research + Ownership
Payments
36
Total payment records
General Amount
$10,422
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $4,800 |
| Medtronic, Inc. | $2,453 |
| Baxter Healthcare | $1,760 |
| Medical Device Business Services, Inc. | $1,030 |
| Ethicon US, LLC | $248 |
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: 2023-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230920000019 | I | Surgical Oncology | TX | TBD |
| I20231106000382 | I | General Surgery | FL | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 06606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Internal Medicine | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Hand Surgery, Orthopedic Surgery, Sports Medicine | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| - | NY | |
| Infectious Disease | FL | |
| Internal Medicine | PA |
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