KHALID R SIDDIQUI MD
NPI 1497753610
Radiology - Radiation Oncology in Sandusky, OH
NPI Status: Active since July 12, 2005
- 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
- Code Navigator
Location Map
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 |
---|---|---|---|
A15874 | MEDICARE UPIN (02) | OH | |
SI0640037 | MEDICARE ID-TYPE UNSPECIFIED (04) | OH | |
0730758 | MEDICAID (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
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session
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 patientsIntensity-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 patientsPhysician 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.
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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. | |||||||||
1 | 4 | 9 | 7 | 7 | 5 | 3 | 6 | 1 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 18 | 7 | 14 | 5 | 6 | 6 | 2 | |
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 Registered | 1101 DECATUR ST SANDUSKY, OH 44870 (918) 543-1020 |
1770543902 | MATT S WISNIEWSKI C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 1101 DECATUR ST FIRELANDS REGIONAL MEDICAL CENTER SANDUSKY, OH 44870 (918) 543-1020 |
1124127196 | MEGAN R KOLB PHYSICAL THERAPIST Individual | Physical Therapist | 1101 DECATUR ST SANDUSKY, OH 44870 (419) 557-7400 |
1407922248 | JULIE LYNNE SMITH RD, LD Individual | Dietitian, Registered | 1101 DECATUR ST SANDUSKY, OH 44870 (419) 557-7431 |
1528125549 | MR. KATHERINE NESTOR SPAAR RD,LD Individual | Dietitian, Registered | 1101 DECATUR ST SANDUSKY, OH 44870 (419) 557-6996 |
1912057738 | MR. JAMES J POSENDEK R.PH. Individual | Pharmacist | 1101 DECATUR ST SANDUSKY, OH 44870 (419) 557-7545 |
1447465414 | JAMES LEWIS Individual | Physical Therapist | 1101 DECATUR ST SANDUSKY, OH 44870 (419) 557-1019 |
1699967042 | MRS. ELIZABETH FRANCES SPEER RD, LD Individual | Dietitian, Registered | 1101 DECATUR ST SANDUSKY, OH 44870 (419) 557-6521 |
1285827121 | CHOICE DIAGNOSTICS Organization | Clinical Medical Laboratory | 1101 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 |
1154367555 | NORTHCOAST RADIOTHERAPY INC. Organization | Specialist | 1101 DECATUR ST SANDUSKY, OH 44870 (419) 625-6647 |
1750390274 | SANDUSKY BAY ANESTHESIA, LLC Organization | Nurse Anesthetist, Certified Registered | 1101 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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