JAMAL DEAN SIDDIQUI (M.D.) – Ophthalmology Physician, NPI 1578883336

JAMAL DEAN SIDDIQUI (M.D.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. LP02002 (RI). The NPI Number for JAMAL DEAN SIDDIQUI (M.D.) is 1578883336

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JAMAL DEAN SIDDIQUI (M.D.)
NPI
1578883336
Phone
(918) 747-3937
Address
7171 S YALE AVE STE 103
Enumeration Date
3 June 2010
Last Update Date
27 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9187473937
Graduation Year
2009 (17 years ago)
PAC ID
6709020738
Group Practice PAC ID
7911995337
Professional Enrollment ID
I20130913000141
Address ID
OK741045646TU2000XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

212 OPHTHALMOLOGY in OK

Provider Addresses for JAMAL DEAN SIDDIQUI (M.D.)

  • 7171 S YALE AVE STE 103

    TULSA, OK 741366367

    Phone: (918) 747-3937

    Fax: (918) 748-8707

    Type: Location

  • 2000 S WHEELING AVE STE 500

    TULSA, OK 741045642

    Phone: (918) 747-3937

    Fax: (918) 748-8707

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 108 Open Payments records for all available years, with a total value of $3,023.

Total Amount is formed as General ($3,023) + Research ($0) + Ownership ($0) = $3,023.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($1,209).

Total Amount

$3,023

General + Research + Ownership

Payments

108

Total payment records

General Amount

$3,023

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2013-09-13

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
I20130913000141IOphthalmologyOKTBD

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
92014Established patient complete exam of visual system871748$0
66984Removal of cataract with insertion of prosthetic lens534298$0
92136Measurement of corneal curvature and depth of eye434322$0
92134Imaging of retina421331$0
99213Established patient office or other outpatient visit, 20-29 minutes199161$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 7911995337View full group profile
NameSpecialtyState
-OK
O P T O M E T R YOK
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YCO
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YMA
O P T O M E T R YCO
O P H T H A L M O L O G YOK

Reviews

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Frequently asked questions

How do I look up JAMAL DEAN SIDDIQUI (M.D.) by NPI?
Use NPI 1578883336 when you need to reference JAMAL DEAN SIDDIQUI (M.D.) in forms, claims, or directories.
Is JAMAL DEAN SIDDIQUI (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JAMAL DEAN SIDDIQUI (M.D.) work in?
You can think of JAMAL DEAN SIDDIQUI (M.D.) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JAMAL DEAN SIDDIQUI (M.D.)?
The snapshot lists Tulsa, Oklahoma for JAMAL DEAN SIDDIQUI (M.D.); download NPPES for the complete set.
How can I contact JAMAL DEAN SIDDIQUI (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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