Shazia Siddiqui (NPI# 1629001680, PAC ID# 0345246195) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1629001680 |
| PAC ID by PECOS | 0345246195 |
| Professional Enrollment ID | I20130223000084 |
| Full Name | Shazia Siddiqui |
| Organization Legal Name | LAFAYETTE PAIN CARE, P.C. |
| Address |
107 S Washington St Kokomo IN 46901-4601 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2015 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 3678728680 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150072 | MEMORIAL HOSPITAL |
| 151305 | PULASKI MEMORIAL HOSPITAL |
| 151307 | ST. VINCENT WILLIAMSPORT HOSPITAL, INC. |
| 150010 | ST. JOSEPH HOSPITAL & HEALTH CENTER, INC |
| 150109 | FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE EAST |
| Address | Phone | Organization |
|---|---|---|
| 107 S Washington St, Kokomo, IN 46901-4601 | LAFAYETTE PAIN CARE, P.C. | |
| 770 Park E Blvd, Suite A, Lafayette, IN 47905-0786 | 7657144344 | LAFAYETTE PAIN CARE, P.C. |
| 770 Park E Blvd B, Lafayette, IN 47905-0786 | 7657144344 | LAFAYETTE PAIN CARE, P.C. |
| 1101 Michigan Ave, Suite 30, Logansport, IN 46947-1528 | 5747537541 | LAFAYETTE PAIN CARE, P.C. |
| 412 N Monroe St, Williamsport, IN 47993-1049 | 7657144344 | LAFAYETTE PAIN CARE, P.C. |
| 613 Terrace Dr, Winamac, IN 46996-1111 | 5749464290 | LAFAYETTE PAIN CARE, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | LAFAYETTE PAIN CARE, P.C. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shahbaz Qavi | Pain Management | Lafayette Pain Care, P.C. | 770 Park E Blvd B, Lafayette, IN 47905-0786 |
| Judy A Mcintosh | Nurse Practitioner | Lafayette Pain Care, P.C. | 770 Park E Blvd, Lafayette, IN 47905-0786 |
| Rizwan Nazeer Khan | Anesthesiology | Lafayette Pain Care, P.C. | 107 S Washington St, Suite C, Kokomo, IN 46901-4601 |
| Laura Faye Peacock | Nurse Practitioner | Lafayette Pain Care, P.C. | 107 S Washington St, Suite C, Kokomo, IN 46901-4601 |
| Edgar Martinez | Anesthesiology | Lafayette Pain Care, P.C. | 770 Park E Blvd B, Lafayette, IN 47905-0786 |
| Jie Xu | Physician Assistant | Lafayette Pain Care, P.C. | 107 S Washington St, Kokomo, IN 46901-4601 |
| Haley A Innocenti | Physician Assistant | Lafayette Pain Care, P.C. | 107 S Washington St, Kokomo, IN 46901-4601 |
| Street Address |
107 S WASHINGTON ST |
| City | KOKOMO |
| State | IN |
| Zip | 46901-4601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rizwan Nazeer Khan | Anesthesiology | Lafayette Pain Care, P.C. | 107 S Washington St, Suite C, Kokomo, IN 46901-4601 |
| Laura Faye Peacock | Nurse Practitioner | Lafayette Pain Care, P.C. | 107 S Washington St, Suite C, Kokomo, IN 46901-4601 |
| Jie Xu | Physician Assistant | Lafayette Pain Care, P.C. | 107 S Washington St, Kokomo, IN 46901-4601 |
| Haley A Innocenti | Physician Assistant | Lafayette Pain Care, P.C. | 107 S Washington St, Kokomo, IN 46901-4601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne Brooks Ladd | Chiropractic | 2136 N Cooper St, Kokomo, IN 46901-1697 | |
| Bradley J Vossberg | Physical Medicine and Rehabilitation | 829 N Dixon Rd, Kokomo, IN 46901-1759 | |
| Tara L Eytcheson | Clinical Social Worker | 1539 E 100, Kokomo, IN 46901-3413 | |
| David Fredrick Strus | Psychologist, Clinical | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Alfredo Jaojoco Tumbali | Psychiatry | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Lisa Darlene Stults | Nurse Practitioner | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Dara Anita Josiah-howze | Psychiatry | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Abigail A Campbell | Clinical Social Worker | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Karen Sofie Samuels | Nurse Practitioner | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Patrick Mario Webb | Clinical Psychologist | St Joseph Hospital and Health Center Inc | 1907 W Sycamore St, Kokomo, IN 46901-4113 |
| Find all physicians in zip 46901 | |||
| City | KOKOMO |
| Zip Code | 46901 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | KOKOMO + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Shazia Siddiqui.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.