DR. MOHAMED SIDDIQUE (MD) – Psychiatry Physician, NPI 1114086857
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for DR. MOHAMED SIDDIQUE (MD)
Telegraph Road, Redford Township, Wayne County, Michigan, 48239, United States
REDFORD, MI 48239
Phone: (313) 450-4500
Fax: (313) 450-4514
Type: Location
6286, Timberwood South, Crestwood, West Bloomfield Township, Oakland County, Michigan, 48322, United States
WEST BLOOMFIELD, MI 48322
Phone: (313) 661-8151
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $2,454.
Total Amount is formed as General ($2,454) + Research ($0) + Ownership ($0) = $2,454.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($501).
Total Amount
$2,454
General + Research + Ownership
Payments
53
Total payment records
General Amount
$2,454
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $501 |
| Teva Pharmaceuticals USA, Inc. | $392 |
| ITI, Inc. | $362 |
| ABBVIE INC. | $250 |
| Alkermes, Inc. | $177 |
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: 2005-10-27
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 |
|---|---|---|---|---|
| I20051027001131 | I | Psychiatry | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48239)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | MI | 90792 | Psychiatric diagnostic evaluation with medical services | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MI | |
| Mental Health Counselor | MI | |
| - | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Mental Health Counselor | MI | |
| Physician Assistant | MI | |
| Mental Health Counselor | MI | |
| - | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.