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

Dr. Khadija Siddiqui, DO

Individual provider Interventional Cardiology Physician · NPI 1831394295

Dr. Khadija Siddiqui, DO is a Cardiovascular Disease (Cardiology) in Mansfield, Texas. Qualified in 2010, 16 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
16
Licensed in
IL, TX
In the registry since
2007
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2800 E Broad St Ste 318
Mansfield, TX 76063-6413
Phone: (817) 779-3178
Fax: (817) 779-3180
Show map & directions

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

Additional practice locations (2)

  • 4600 Memorial Dr Ste W1, Belleville, IL 62226-5359 — (618) 233-3066
  • 707 E Marshall Ave, Longview, TX 75601-5545 — (903) 315-5400

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 036087584 (IL)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 036174231 (IL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence P9735 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence P9735 (TX)

Record details

NPI number1831394295
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 18, 2007
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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