DR. FAYEZ AHMED SIDDIQUI (M.D) – Interventional Cardiology Physician, NPI 1366797755

DR. FAYEZ AHMED SIDDIQUI (M.D) is a healthcare provider. based in Detroit, Michigan. specializing in INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D. They hold a License No. MD-47353 (IA). The NPI Number for DR. FAYEZ AHMED SIDDIQUI (M.D) is 1366797755

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. FAYEZ AHMED SIDDIQUI (M.D)
NPI
1366797755
Phone
(313) 745-4832
Address
4201 Saint Antoine St
Enumeration Date
21 July 2012
Last Update Date
15 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6414565000
Graduation Year
2009 (17 years ago)
PAC ID
8820371834
Group Practice PAC ID
7810809076
Professional Enrollment ID
I20200729001294
Address ID
IA504411867HA1720XEXXX405

Contacts

Secure Messaging
heartcenternurse@mcclinic.direct-ci.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

304 INTERVENTIONAL CARDIOLOGY in MI

Provider Addresses for DR. FAYEZ AHMED SIDDIQUI (M.D)

  • 4201 Saint Antoine St

    Suite 2E

    Detroit, MI 482012153

    Phone: (313) 745-4832

    Type: Location

  • 3210 OAKLEY STATION BLVD UNIT 201

    CINCINNATI, OH 452091270

    Phone: (248) 860-4179

    Type: Mailing

  • 250 S CRESCENT DR

    MASON CITY, IA 504012926

    Phone: (641) 494-5401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 97 Open Payments records for all available years, with a total value of $6,553.

Total Amount is formed as General ($6,553) + Research ($0) + Ownership ($0) = $6,553.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($3,607).

Total Amount

$6,553

General + Research + Ownership

Payments

97

Total payment records

General Amount

$6,553

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-07-29

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
I20200729001294IInterventional CardiologyIATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only346265$0
99214Established patient office or other outpatient visit, 30-39 minutes274192$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes226199$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function114114$0
93458Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist109106$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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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: 7810809076View full group profile
NameSpecialtyState
P S Y C H I A T R YIA
Physician AssistantTN
-IA
-PA
Cardiovascular Disease (Cardiology), Critical Care (Intensivists)IA
Certified Registered Nurse Anesthetist (Crna)IA
Physician AssistantIA
-IA
Sleep MedicineIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. FAYEZ AHMED SIDDIQUI (M.D)?
NPI 1366797755 is assigned to DR. FAYEZ AHMED SIDDIQUI (M.D) under the national enumeration system.
Is DR. FAYEZ AHMED SIDDIQUI (M.D)'s NPI currently valid?
The extract we use shows DR. FAYEZ AHMED SIDDIQUI (M.D) as active.
Can you summarize DR. FAYEZ AHMED SIDDIQUI (M.D)'s specialty in plain language?
Clinically, the directory lists DR. FAYEZ AHMED SIDDIQUI (M.D) with Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. FAYEZ AHMED SIDDIQUI (M.D)?
The page summarizes Detroit, Michigan for DR. FAYEZ AHMED SIDDIQUI (M.D); expand the address list for detail.
How can I contact DR. FAYEZ AHMED SIDDIQUI (M.D)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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