DR. MOHAMMAD ZIA SIDDIQUI (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1144781378

DR. MOHAMMAD ZIA SIDDIQUI (MD) is a healthcare provider. based in Southlake, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. V5605 (TX). The NPI Number for DR. MOHAMMAD ZIA SIDDIQUI (MD) is 1144781378

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMMAD ZIA SIDDIQUI (MD)
NPI
1144781378
Phone
(817) 865-6800
Address
305 MORRISON PARK DR # 100
Enumeration Date
29 March 2019
Last Update Date
10 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8178656800
Graduation Year
2019 (7 years ago)
PAC ID
0648504589
Group Practice PAC ID
6406032036
Professional Enrollment ID
I20250321003617
Address ID
TX760921352SO305XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

Provider Addresses for DR. MOHAMMAD ZIA SIDDIQUI (MD)

  • 305 MORRISON PARK DR # 100

    SOUTHLAKE, TX 760921352

    Phone: (817) 865-6800

    Fax: (817) 865-6790

    Type: Mailing

  • 29 Menden Lane, 29, Menden Lane, Lamarche, Little Rock, Pulaski County, Arkansas, 72223, United States

    LITTLE ROCK, AR 722239287

    Phone: (501) 247-5763

    Type: Mailing

  • 837, West Markham Street, Little Rock, Pulaski County, Arkansas, 72201, United States

    LITTLE ROCK, AR 722057101

    Phone: (501) 526-6020

    Type: Location

  • 3455 Locke Ave Ste 310

    Fort Worth, TX 761075747

    Phone: (817) 865-6800

    Fax: (817) 865-6790

    Type: Location

  • 3804 W 15th St # 130

    Plano, TX 750754752

    Phone: (817) 865-6800

    Fax: (817) 865-6790

    Type: Location

  • 4951 Long Prairie Rd Ste 120

    Flower Mound, TX 750282709

    Phone: (817) 865-6800

    Fax: (817) 865-6790

    Type: Location

  • 12222 N Central Expy Ste 250

    Dallas, TX 752433762

    Phone: (817) 865-6800

    Fax: (817) 865-6790

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,031.

Total Amount is formed as General ($1,031) + Research ($0) + Ownership ($0) = $1,031.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Genentech USA, Inc. ($228).

Total Amount

$1,031

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,031

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2025-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20230605001355IOphthalmologyMOTBD
I20230907002228IOphthalmologyILTBD
I20250321003617IOphthalmologyTXTBD

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
67108Repair of detached retina with drainage and removal of eye fluid between lens and retina1413$0
View full utilization report →

Insurance plans in this area (ZIP 76092)

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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: 6406032036View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMD
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YGA

Reviews

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Frequently asked questions

Does DR. MOHAMMAD ZIA SIDDIQUI (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MOHAMMAD ZIA SIDDIQUI (MD) uses 1144781378.
Is DR. MOHAMMAD ZIA SIDDIQUI (MD) still practicing?
DR. MOHAMMAD ZIA SIDDIQUI (MD) is currently listed as active in the public NPI registry.
What is DR. MOHAMMAD ZIA SIDDIQUI (MD)'s specialty?
The listing groups DR. MOHAMMAD ZIA SIDDIQUI (MD) with Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MOHAMMAD ZIA SIDDIQUI (MD)?
DR. MOHAMMAD ZIA SIDDIQUI (MD)'s geographic hint is Southlake, Texas in our summary view.
Why does DR. MOHAMMAD ZIA SIDDIQUI (MD) have multiple addresses?
8 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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