Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fazeel Mukhtar Siddiqui, MD

Individual provider Neurology Physician · NPI 1154513687

Dr. Fazeel Mukhtar Siddiqui, MD is a Neurology in Wyoming, Michigan. Qualified in 2004, 22 years ago. Practices with Metropolitan Hospital, a 422-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
22
Licensed in
IL, MI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone: (616) 252-7200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 220 Cherry St Se, Grand Rapids, MI 49503-4608 — (616) 685-5050
  • 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 — (231) 392-0640
  • 2122 Health Dr Sw Ste 160, Wyoming, MI 49519-9402 — (616) 252-5790

Specialties & licences

Vascular Neurology Physician (primary) Taxonomy 2084V0102X · Licence 4301116960 (MI)
Neurology Physician Taxonomy 2084N0400X · Licence 036-132058 (IL)
Vascular Neurology Physician Taxonomy 2084V0102X · Licence 036-132058 (IL)

Record details

NPI number1154513687
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 17, 2007
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Metropolitan Hospital — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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