KHURRUM SIDDIQUE (M.D.) – Pediatrics Physician, NPI 1154640324
Pediatrics Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,256 PEDIATRIC MEDICINE in TX
Provider Addresses for KHURRUM SIDDIQUE (M.D.)
2821 Michaelangelo Dr Ste 101
Edinburg, TX 785391411
Phone: (956) 362-8200
Fax: (956) 362-8204
Type: Location
9555 S 52nd Ave
Oak Lawn, IL 604533054
Phone: (708) 684-5437
Fax: (708) 876-1569
Type: Location
333 N SANTA ROSA
SAN ANTONIO, TX 782073108
Phone: (210) 704-3030
Type: Mailing
PO BOX 749
PHARR, TX 785771614
Phone: (956) 362-8200
Fax: (956) 362-8204
Type: Mailing
2821 MICHAELANGELO DR STE 101
EDINBURG, TX 785391411
Phone: (956) 362-8200
Fax: (956) 362-8204
Type: Location
Medical Center Blvd
Winston Salem, NC 271573108
Phone: (336) 713-4500
Fax: (336) 713-4501
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $238.
Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: CALLIDITAS THERAPEUTICS US INC. ($98).
Total Amount
$238
General + Research + Ownership
Payments
10
Total payment records
General Amount
$238
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2026-01-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20151203000486 | I | Pediatric Medicine | TX | TBD |
| I20230425002068 | I | Pediatric Medicine | IL | TBD |
| I20240729000883 | I | Pediatric Medicine | TN | TBD |
| I20260115003553 | I | Nephrology | MN | 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 78539)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | MS | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Pediatric Medicine, Cardiovascular Disease (Cardiology), Interventional Cardiology | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology | TN | |
| Nephrology, Internal Medicine, Nephrology, Pediatric Medicine | TN | |
| Pediatric Medicine, Nephrology | TX | |
| - | TN |
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