DR. MUHAMMAD MANNAN SIDDIQUI (M.D.) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1093953168
Hospice and Palliative Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
120 HOSPICE/PALLIATIVE CARE in VA
Provider Addresses for DR. MUHAMMAD MANNAN SIDDIQUI (M.D.)
3040 WILLIAMS DR STE 100
FAIRFAX, VA 220314618
Phone: (571) 350-8400
Fax: (703) 724-7503
Type: Mailing
9450 INNOVATION DR
MANASSAS, VA 201102214
Phone: (571) 350-8400
Fax: (571) 222-2202
Type: Location
3040, Williams Drive, Merrifield, Fairfax (city), Virginia, 22031, United States
SUITE 100
FAIRFAX, VA 220314618
Phone: (703) 280-5390
Fax: (703) 280-9596
Type: Mailing
Prosperity Medical Center, 8503, Arlington Boulevard, Pine Ridge, Annandale, Fairfax (city), Virginia, 22031, United States
SUITE 400
FAIRFAX, VA 220314628
Phone: (703) 280-5390
Fax: (703) 280-9596
Type: Location
8613 ROUTE 29 # 200N
FAIRFAX, VA 220312171
Phone: (571) 350-8400
Fax: (703) 280-9596
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $759.
Total Amount is formed as General ($759) + Research ($0) + Ownership ($0) = $759.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($120).
Total Amount
$759
General + Research + Ownership
Payments
29
Total payment records
General Amount
$759
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
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: 2016-09-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20091222000113 | I | Hospice/Palliative Care | DC | TBD |
| I20160928001332 | I | Internal Medicine | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 263 | 142 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 140 | 100 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 90 | 90 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 55 | 55 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 17 | 15 | $0 |
Insurance plans in this area (ZIP 22031)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Radiation Oncology | VA | |
| - | VA | |
| Clinical Social Worker | VA | |
| Radiation Oncology | VA | |
| Hematology/Oncology, Internal Medicine | DC | |
| H E M A T O L O G Y/ O N C O L O G Y | VA | |
| - | NH | |
| Hematology/Oncology, Hematology | VA |
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