MASOOD A SIDDIQUI (DO) – Diagnostic Radiology Physician, NPI 1902034663

MASOOD A SIDDIQUI (DO) is a healthcare provider. based in Bothell, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 0102207609 (VA). The NPI Number for MASOOD A SIDDIQUI (DO) is 1902034663

Main info

Male
22 Years Of Experience
Name
MASOOD A SIDDIQUI (DO)
NPI
1902034663
Phone
(208) 416-2932
Address
22100 BOTHELL EVERETT HWY
Enumeration Date
1 July 2009
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8432373164
Graduation Year
2004 (22 years ago)
PAC ID
8022161371
Group Practice PAC ID
3779683537
Professional Enrollment ID
I20250519003722
Address ID
MD206465960LA5XXXXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:16State licenses:2Digital endpointsOther names

1,529 DIAGNOSTIC RADIOLOGY in VA

Provider Addresses for MASOOD A SIDDIQUI (DO)

  • 22100 BOTHELL EVERETT HWY

    BOTHELL, WA 980218431

    Phone: (208) 416-2932

    Type: Mailing

  • 8700 Sudley Rd

    Manassas, VA 201104418

    Phone: (703) 369-8073

    Type: Location

  • 1215 Lee St

    Charlottesville, VA 229088420

    Phone: (434) 924-9400

    Type: Location

  • 1735, 27th Street, Portsmouth, Scioto County, Ohio, 45662, United States

    WALLER BUILDING, SUITE B06

    PORTSMOUTH, OH 456622677

    Phone: (740) 356-8681

    Fax: (740) 353-7900

    Type: Mailing

  • Southern Ohio Medical Center, 1805, 27th Street, Portsmouth, Scioto County, Ohio, 45662, United States of America

    PORTSMOUTH, OH 456622640

    Phone: (740) 356-5000

    Fax: (740) 353-7900

    Type: Location

  • 16782 BROOKLANE BLVD

    NORTHVILLE, MI 481688420

    Phone: (734) 502-5448

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Boston Scientific Corporation ($91).

Total Amount

$91

General + Research + Ownership

Payments

1

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2025-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 9 Medicare enrollment records; no due dates published yet.

Enrollment records

9

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
I20090807000482IDiagnostic RadiologyOHTBD
I20150225002338IDiagnostic RadiologyMITBD
I20240117001754IDiagnostic RadiologyFLTBD
I20241107004275IDiagnostic RadiologyTXTBD
I20250109002858IDiagnostic RadiologyKYTBD
I20250501001155IDiagnostic RadiologyVATBD
I20250519003722IDiagnostic RadiologyMDTBD
I20251017003030IDiagnostic RadiologyNCTBD
I20251023001026IDiagnostic RadiologyINTBD

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
71045X-ray of chest, 1 view1,1231,025$0
70450Ct scan head or brain without contrast542526$0
74177Ct scan of abdomen and pelvis with contrast319314$0
71046X-ray of chest, 2 views208203$0
72125Ct scan of upper spine without contrast178178$0
View full utilization report →

Insurance plans in this area (ZIP 98021)

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Provider's Procedures

MASOOD A SIDDIQUI (DO) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOH71010X-ray of chest, 1 view, front19031644
DIAGNOSTIC RADIOLOGYOH73562X-ray of knee, 3 views2623
DIAGNOSTIC RADIOLOGYOH73630X-ray of foot, minimum of 3 views9184
DIAGNOSTIC RADIOLOGYOH74177CT scan of abdomen and pelvis with contrast291279
DIAGNOSTIC RADIOLOGYOH93926Ultrasound study of arteries and arterial grafts of one leg or limited1313
DIAGNOSTIC RADIOLOGYOH93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers168162

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: 3779683537View full group profile
NameSpecialtyState
Diagnostic RadiologyVA
Diagnostic RadiologyPA
Diagnostic RadiologyMD
-PA
Diagnostic Radiology, Interventional RadiologyPA
Diagnostic Radiology, Diagnostic Radiology, Interventional RadiologyNY
Diagnostic RadiologyVA
Diagnostic RadiologyNC
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyMD
Diagnostic RadiologyNY

Reviews

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Frequently asked questions

Does MASOOD A SIDDIQUI (DO) have a public NPI I can cite?
Public records show MASOOD A SIDDIQUI (DO) under NPI 1902034663.
Is MASOOD A SIDDIQUI (DO) currently accepting referrals based on NPI status?
Registry metadata lists MASOOD A SIDDIQUI (DO) as active.
What services align with MASOOD A SIDDIQUI (DO)'s listing?
MASOOD A SIDDIQUI (DO)'s public classification highlights Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MASOOD A SIDDIQUI (DO)?
The directory associates MASOOD A SIDDIQUI (DO) with Bothell, Washington. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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