SHAZIA MERAJ SIDDIQUI (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1629001680
Pain Medicine (Anesthesiology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
67 INTERVENTIONAL PAIN MANAGEMENT in IN
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Provider Addresses for SHAZIA MERAJ SIDDIQUI (MD)
770, Park East Boulevard, Cascada Business Park, Lafayette, Tippecanoe County, Indiana, 47905, United States
SUITE B
LAFAYETTE, IN 47905
Phone: (765) 714-4344
Fax: (765) 838-3200
Type: Location
Lafayette Post Office, East Cypress Street, Arbolada Addition, Lafayette, Lafayette Parish, Louisiana, 70501, United States
LAFAYETTE, IN 479035748
Phone: (765) 714-4344
Fax: (765) 838-3200
Type: Mailing
1104 E Grace St
Rensselaer, IN 479783211
Phone: (219) 866-2098
Fax: (219) 866-9891
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $2,699.
Total Amount is formed as General ($2,699) + Research ($0) + Ownership ($0) = $2,699.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($1,774).
Total Amount
$2,699
General + Research + Ownership
Payments
54
Total payment records
General Amount
$2,699
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Relievant Medsystems, Inc. | $1,774 |
| Vertos Medical, Inc. | $332 |
| Boston Scientific Corporation | $271 |
| PAINTEQ LLC | $194 |
| Medtronic, Inc. | $52 |
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: 2013-02-23
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 |
|---|---|---|---|---|
| I20130223000084 | I | Interventional Pain Management | IN | 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 |
|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | 515 | 293 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 506 | 291 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 380 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 281 | 205 | $0 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 204 | 152 | $0 |
Insurance plans in this area (ZIP 47905)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Interventional Pain Management, Pain Management | OH | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| A N E S T H E S I O L O G Y | IN | |
| Clinical Psychologist | IN |
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