KHALID R SIDDIQUI MD
NPI 1497753610
Radiology - Radiation Oncology in Sandusky, OH

NPI Status: Active since July 12, 2005

Contact Information

1101 DECATUR ST
SANDUSKY, OH
ZIP 44870
Phone: (419) 625-6647

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  • Individual
  • Male
  • Radiology
  • Radiation Oncology
  • Accepts Insurance
  • PECOS Enrolled

About KHALID SIDDIQUI

This page provides the complete NPI Profile along with additional information for Khalid Siddiqui, a provider established in Sandusky, Ohio with a medical specialization in Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1497753610 assigned on July 2005. The practitioner's primary taxonomy code is 2085R0001X with license number 35048385S (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1497753610
Provider Name
KHALID R SIDDIQUI MD
Gender
Male
Entity Type
Individual
Location Address
1101 DECATUR ST SANDUSKY, OH 44870
Location Phone
(419) 625-6647
Mailing Address
1101 DECATUR ST SANDUSKY, OH 44870
Mailing Phone
(419) 625-6647
Is Sole Proprietor?
Yes
Enumeration Date
07-12-2005
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
License No.
35048385S
License State
OH
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Standard - HMO
  • Catastrophic Standard - HMO
  • Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Standard - HMO
  • Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A15874MEDICARE UPIN (02)OH 
SI0640037MEDICARE ID-TYPE UNSPECIFIED (04)OH 
0730758MEDICAID (05)OH 

Medicare Participation & PECOS Enrollment Status

Khalid Siddiqui is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ct guidance for insertion of radiation therapy fields

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

This service was performed 36 times for 27 patients

Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session

Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulating—or controlling—the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.

This service was performed 34 times for 25 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 44870 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $166.65
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $41.66
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.07
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $17.01
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for KHALID R SIDDIQUI MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497753610
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187145662
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 4 + 5 + 6 + 6 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1497753610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790783132 YOUNG K HONG MD
Individual
Radiology (Diagnostic Radiology)1101 DECATUR ST
SANDUSKY, OH 44870
(419) 625-7061
1972597912 TIMOTHY D AMIDON DO
Individual
Emergency Medicine (Emergency Medical Services)1101 DECATUR ST
SANDUSKY, OH 44870
(419) 626-7400
1508850553 EDWARD RADATZ JR. DO
Individual
Emergency Medicine (Emergency Medical Services)1101 DECATUR ST
SANDUSKY, OH 44870
(419) 626-7400
1588658538 SUSIE WYSE MD
Individual
Emergency Medicine (Emergency Medical Services)1101 DECATUR ST
SANDUSKY, OH 44870
(419) 626-7400
1427042191 MICHAEL BABIUCH MD
Individual
Emergency Medicine (Emergency Medical Services)1101 DECATUR ST
SANDUSKY, OH 44870
(419) 626-7400
1639163314 SCOTT CAMPBELL MD
Individual
Emergency Medicine (Emergency Medical Services)1101 DECATUR ST
SANDUSKY, OH 44870
(419) 626-7400
1720072416 THOMAS NESGODA MD
Individual
Emergency Medicine (Emergency Medical Services)1101 DECATUR ST
SANDUSKY, OH 44870
(419) 626-7400
1033103734 JOHN SMITH MD
Individual
Emergency Medicine (Emergency Medical Services)1101 DECATUR ST
SANDUSKY, OH 44870
(419) 626-7400
1104885540 JUDY A DAUS C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered1101 DECATUR ST
SANDUSKY, OH 44870
(918) 543-1020
1770543902 MATT S WISNIEWSKI C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered1101 DECATUR ST FIRELANDS REGIONAL MEDICAL CENTER
SANDUSKY, OH 44870
(918) 543-1020
1124127196 MEGAN R KOLB PHYSICAL THERAPIST
Individual
Physical Therapist1101 DECATUR ST
SANDUSKY, OH 44870
(419) 557-7400
1407922248 JULIE LYNNE SMITH RD, LD
Individual
Dietitian, Registered1101 DECATUR ST
SANDUSKY, OH 44870
(419) 557-7431
1528125549MR. KATHERINE NESTOR SPAAR RD,LD
Individual
Dietitian, Registered1101 DECATUR ST
SANDUSKY, OH 44870
(419) 557-6996
1912057738MR. JAMES J POSENDEK R.PH.
Individual
Pharmacist1101 DECATUR ST
SANDUSKY, OH 44870
(419) 557-7545
1447465414 JAMES LEWIS
Individual
Physical Therapist1101 DECATUR ST
SANDUSKY, OH 44870
(419) 557-1019
1699967042MRS. ELIZABETH FRANCES SPEER RD, LD
Individual
Dietitian, Registered1101 DECATUR ST
SANDUSKY, OH 44870
(419) 557-6521
1285827121CHOICE DIAGNOSTICS
Organization
Clinical Medical Laboratory1101 DECATUR ST 1ST FLOOR LABORATORY
SANDUSKY, OH 44870
(419) 557-7537
1902805732 KAREN S SHEEHAN M.D.
Individual
Radiology (Diagnostic Radiology)1101 DECATUR ST
SANDUSKY, OH 44870
(866) 439-9184
1154367555NORTHCOAST RADIOTHERAPY INC.
Organization
Specialist1101 DECATUR ST
SANDUSKY, OH 44870
(419) 625-6647
1750390274SANDUSKY BAY ANESTHESIA, LLC
Organization
Nurse Anesthetist, Certified Registered1101 DECATUR ST
SANDUSKY, OH 44870
(918) 543-1020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497753610, enumerated in the NPI registry as an "individual" on July 12, 2005

The provider is located at 1101 Decatur St Sandusky, Oh 44870 and the phone number is (419) 625-6647

The provider's speciality is Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology

The provider might be accepting Accepts: Antidote Health Plan of Ohio, Inc., Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $166.65 with an average copayment of $41.66 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Ct guidance for insertion of radiation therapy fields and Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session.

This NPI record was last updated on July 12, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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