DR. REHANA SIDDIQUI (MD) – Family Medicine Physician, NPI 1912964040

DR. REHANA SIDDIQUI (MD) is a healthcare provider. based in Port orange, Florida. specializing in GENERAL PRACTICE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME43695 (FL). The NPI Number for DR. REHANA SIDDIQUI (MD) is 1912964040

Main info

Female
Sole Proprietor
59 Years Of Experience
Accepts Medicare Assignment
Name
DR. REHANA SIDDIQUI (MD)
NPI
1912964040
Phone
(386) 271-2273
Address
1690 DUNLAWTON AV, STE 120
Enumeration Date
1 May 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862712273
Graduation Year
1967 (59 years ago)
PAC ID
1456409523
Group Practice PAC ID
5890712806
Professional Enrollment ID
I20090429000070
Address ID
FL321278980PO1690XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

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Provider Addresses for DR. REHANA SIDDIQUI (MD)

  • Dunlawton Avenue, Port Orange, Volusia County, Florida, 32127, United States

    PORT ORANGE, FL 321278980

    Phone: (386) 271-2273

    Fax: (386) 271-2274

    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 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: CSL Behring ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$15
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: 2009-04-29

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
I20090429000070IGeneral PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2617$0
99213Established patient office or other outpatient visit, 20-29 minutes1712$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 32127)

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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: 5890712806View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. REHANA SIDDIQUI (MD)?
The registry entry for DR. REHANA SIDDIQUI (MD) shows NPI 1912964040.
Is DR. REHANA SIDDIQUI (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. REHANA SIDDIQUI (MD) as active.
Which specialty label fits DR. REHANA SIDDIQUI (MD)?
NPPES ties DR. REHANA SIDDIQUI (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. REHANA SIDDIQUI (MD) in Port Orange, Florida?
For routing, start with Port Orange, Florida for DR. REHANA SIDDIQUI (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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