HAROON SIDDIQUE, MD, PA – Psychiatry Physician, NPI 1467614768
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for HAROON SIDDIQUE, MD, PA
Wise Health System, 2000, South FM 51, Decatur, Wise County, Texas, 76234, United States
DECATUR, TX 762343702
Phone: (940) 626-1848
Fax: (940) 626-1849
Type: Location
3412 N Tarrant Pkwy Ste 520
Fort Worth, TX 761778643
Phone: (940) 626-1848
Fax: (940) 626-1849
Type: Location
902 PRESKITT RD STE 200
DECATUR, TX 762344101
Phone: (940) 626-1848
Fax: (940) 626-1849
Type: Location
1816, South FM 51, Decatur, Wise County, Texas, 76234, United States
SUITE 400, #130
DECATUR, TX 762343784
Phone: (940) 626-1848
Fax: (940) 626-1849
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-12-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (164 days ago).
Enrollment records
1
Earliest due date
2025-12-31
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 |
|---|---|---|---|---|
| O20081203000908 | O | Clinic/Group Practice | TX | 2025-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 76234)
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