HINA ANJUM SIDDIQUI (PA-C) – Physician Assistant, NPI 1861965378

HINA ANJUM SIDDIQUI (PA-C) is a healthcare provider. based in Brentwood, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for HINA ANJUM SIDDIQUI (PA-C) is 1861965378

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
HINA ANJUM SIDDIQUI (PA-C)
NPI
1861965378
Phone
(270) 348-0953
Address
1550 SHINING ORE DR
Enumeration Date
7 January 2019
Last Update Date
24 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6152663376
Graduation Year
2018 (8 years ago)
PAC ID
6901287218
Group Practice PAC ID
7416298104
Professional Enrollment ID
I20220718003656
Address ID
TN370753853HE105XXBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:7State licenses:0Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

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Provider Addresses for HINA ANJUM SIDDIQUI (PA-C)

  • 1550, Shining Ore Drive, Brookfield, Brentwood, Williamson County, Tennessee, 37135, United States

    BRENTWOOD, TN 370272218

    Phone: (270) 348-0953

    Type: Mailing

  • 105 MAPLE ROW BLVD

    HENDERSONVILLE, TN 370753853

    Phone: (615) 266-3376

    Fax: (615) 622-8736

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 157 Open Payments records for all available years, with a total value of $3,540.

Total Amount is formed as General ($3,540) + Research ($0) + Ownership ($0) = $3,540.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($765).

Total Amount

$3,540

General + Research + Ownership

Payments

157

Total payment records

General Amount

$3,540

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2022-07-18

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
I20220718003656IPhysician AssistantTNTBD

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
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg3,40015$0
17003Destruction of precancer skin growth, 2-14 growths26556$0
99214Established patient office or other outpatient visit, 30-39 minutes13796$0
99213Established patient office or other outpatient visit, 20-29 minutes9581$0
17000Destruction of precancer skin growth, 1 growth8775$0
View full utilization report →

Insurance plans in this area (ZIP 37027)

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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: 7416298104View full group profile
NameSpecialtyState
Physician AssistantIA
-TN
Micrographic Dermatologic Surgery (Mds), DermatologyTN

Reviews

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Frequently asked questions

Can I cross-check HINA ANJUM SIDDIQUI (PA-C) using NPI 1861965378?
NPI 1861965378 belongs to HINA ANJUM SIDDIQUI (PA-C); compare other details if you need extra assurance.
Would HINA ANJUM SIDDIQUI (PA-C) appear as active to a payer?
You can treat HINA ANJUM SIDDIQUI (PA-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for HINA ANJUM SIDDIQUI (PA-C)?
At a glance, HINA ANJUM SIDDIQUI (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for HINA ANJUM SIDDIQUI (PA-C)?
Travel planning: use Brentwood, Tennessee as the reference point for HINA ANJUM SIDDIQUI (PA-C), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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