Meraj Siddiqui (NPI# 1114973922, PAC ID# 4789608266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1114973922 |
| PAC ID by PECOS | 4789608266 |
| Professional Enrollment ID | I20060606000161 |
| Full Name | Meraj Siddiqui |
| Organization Legal Name | PAIN TREATMENT CENTERS OF AMERICA PLLC |
| Address |
8608 Dollarway Rd Suite B White Hall AR 71602-2867 |
| Phone Number | 5017736993 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 2769608819 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040119 | WHITE RIVER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1215 Sidney St, Batesville, AR 72501-7203 | 8702621541 | PAIN TREATMENT CENTERS OF AMERICA PLLC |
| 7211 Dollarway Rd, White Hall, AR 71602-3020 | 5017736993 | PAIN TREATMENT CENTERS OF AMERICA PLLC |
| 7300 Dollarway Rd, Suite 112, White Hall, AR 71602-3068 | 5017736993 | PAIN TREATMENT CENTERS OF AMERICA PLLC |
| 8608 Dollarway Rd, Suite B, White Hall, AR 71602-2867 | 5017736993 | PAIN TREATMENT CENTERS OF AMERICA PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 62% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 62% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 98% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 98% | |
| 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_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 91% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 91% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 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 | PAIN TREATMENT CENTERS OF AMERICA PLLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Campbell | Nurse Practitioner | Pain Treatment Centers of America Pllc | 1502 Se 28th St, Suite 8, Bentonville, AR 72712-0076 |
| James Hunt | Pain Management | Pain Treatment Centers of America Pllc | 403 S Poplar St, Suite A, Searcy, AR 72143-6000 |
| Robert Baker | Pain Management | Pain Treatment Centers of America Pllc | 108 N Shackleford Rd, Little Rock, AR 72211-2840 |
| Ahmad N Rafi | Pain Management | Pain Treatment Centers of America Pllc | 2100 N State Line Ave, Texarkana, AR 71854-3583 |
| Reid C Parnell | Physical Therapy | Pain Treatment Centers of America Pllc | 108 N Shackleford Rd, Little Rock, AR 72211-2840 |
| Kristy L Thompson | Nurse Practitioner | Pain Treatment Centers of America Pllc | 108 N Shackleford Rd, Little Rock, AR 72211-2840 |
| Honey Hull | Nurse Practitioner | Pain Treatment Centers of America Pllc | 108 N Shackleford Rd, Little Rock, AR 72211-2840 |
| Kayla Beth Ingram-smith | Nurse Practitioner | Pain Treatment Centers of America Pllc | 8608 Dollarway Rd, Suite B, White Hall, AR 71602-2867 |
| Neeraj Kumar | Anesthesiology | Pain Treatment Centers of America Pllc | 403 S Poplar St, Suite A, Searcy, AR 72143-6000 |
| Chanel Dominque Bullock | Nurse Practitioner | Pain Treatment Centers of America Pllc | 108 N Shackleford Rd, Little Rock, AR 72211-2840 |
| Street Address |
8608 DOLLARWAY RD SUITE B |
| City | WHITE HALL |
| State | AR |
| Zip | 71602-2867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla Beth Ingram-smith | Nurse Practitioner | Pain Treatment Centers of America Pllc | 8608 Dollarway Rd, Suite B, White Hall, AR 71602-2867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy T Phillips | Family Medicine | 103 Frankie Ln, White Hall, AR 71602-2685 | |
| Ghulam M Khaleel | Neurology | 105 Frankie Ln, White Hall, AR 71602-2685 | |
| Raluca Tudoreanu | Nurse Practitioner | Advanced Sleep and Pulmonary Center Pllc | 103 Frankie Ln, White Hall, AR 71602-2685 |
| Scott K Gray | Podiatry | 8604 Dollarway Rd, White Hall, AR 71602-2814 | |
| Raymond Floyd Jones | Optometry | 8025 Dollarway Rd, White Hall, AR 71602-2855 | |
| Timothee T Wilkin | Family Medicine | 8608 Dollarway Rd C, White Hall, AR 71602-2867 | |
| Michael C Tucker | Chiropractic | 7721 Dollarway Rd, Suite 1, White Hall, AR 71602-3040 | |
| Paul W Davis | Family Medicine | 7400 Dollarway Rd A, White Hall, AR 71602-3067 | |
| Stephen Lloyd Stewart | Physician Assistant | Paul W Davis Md Pa | 7400 Dollarway Rd A, White Hall, AR 71602-3067 |
| Stuart A Jones | Physical Therapy | Physical Therapy Plus Inc | 7500 Dollarway Rd, Suite 107, White Hall, AR 71602-3082 |
| Find all physicians in zip 71602 | |||
| City | WHITE HALL |
| Zip Code | 71602 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | WHITE HALL + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Meraj 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.