MAHAM SIDDIQUI (PA) – Physician Assistant, NPI 1659990976

MAHAM SIDDIQUI (PA) is a healthcare provider. based in Springfield, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MAHAM SIDDIQUI (PA) is 1659990976

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MAHAM SIDDIQUI (PA)
NPI
1659990976
Phone
(703) 899-2124
Address
8632 HILLSIDE MANOR DR
Enumeration Date
16 April 2020
Last Update Date
16 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7033522620
Graduation Year
2021 (5 years ago)
PAC ID
6709293939
Group Practice PAC ID
6103144753
Professional Enrollment ID
I20210405002291
Address ID
VA220303810FA10680STXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for MAHAM SIDDIQUI (PA)

  • 8632 HILLSIDE MANOR DR

    SPRINGFIELD, VA 221522238

    Phone: (703) 899-2124

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $873.

Total Amount is formed as General ($873) + Research ($0) + Ownership ($0) = $873.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($375).

Total Amount

$873

General + Research + Ownership

Payments

28

Total payment records

General Amount

$873

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2021-04-05

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
I20210405002291IPhysician AssistantDCTBD

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
17003Destruction of precancer skin growth, 2-14 growths59594$0
99213Established patient office or other outpatient visit, 20-29 minutes255174$0
17000Destruction of precancer skin growth, 1 growth193126$0
99214Established patient office or other outpatient visit, 30-39 minutes169109$0
17110Destruction of skin growth, 1-14 growths13797$0
View full utilization report →

Insurance plans in this area (ZIP 22152)

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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: 6103144753View full group profile
NameSpecialtyState
D E R M A T O L O G YDC
Micrographic Dermatologic Surgery (Mds), DermatologyMD
D E R M A T O L O G YCA
Physician AssistantVA
D E R M A T O L O G YVA

Reviews

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Frequently asked questions

Is MAHAM SIDDIQUI (PA) listed with a National Provider Identifier?
Yes — MAHAM SIDDIQUI (PA) has NPI 1659990976 on file in the registry.
Is MAHAM SIDDIQUI (PA) still an active registrant?
MAHAM SIDDIQUI (PA) carries an active NPI according to the public dataset.
What clinical focus is listed for MAHAM SIDDIQUI (PA)?
At a glance, MAHAM SIDDIQUI (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MAHAM SIDDIQUI (PA) located near Springfield?
MAHAM SIDDIQUI (PA) currently maps to Springfield, Virginia in this extract.
When was this NPI issued?
Enumeration for MAHAM SIDDIQUI (PA) is noted as April 16, 2020 where the registry provides it.

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