Dr. Pervez A Siddiqui, MD
Radiology, Diagnostic Radiology in Boca Raton, FL. Individual provider (NPI-1).
Details
- NPI
- 1477533396
- Entity type
- Individual (NPI-1)
- Name
- Dr. Pervez A Siddiqui
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2006
- Certification date
- Oct 30, 2026
- Last updated
- Oct 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 01082784A | IN | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | R0130 | TX | |
| 2085R0202X | Radiology, Diagnostic Radiology | 89399 | FL | |
| 2085R0202X | Radiology, Diagnostic Radiology | 25MA09537900 | NJ | |
| 2085R0202X | Radiology, Diagnostic Radiology | 35.137845 | OH |
Practice location
9045 La Fontana Blvd Ste 225Boca Raton, FL 33434-5643
Phone 561-314-5377 · Fax 561-892-3868
Mailing address
9045 La Fontana Blvd Ste 225Boca Raton, FL 33434-5643
Other practice locations
Morristown, NJ 07960-6136
Phone 973-971-5370 · Fax 973-290-7294
Columbus, OH 43210-1267
Phone 614-293-8315 · Fax 614-293-6935
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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