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

Dr. Omar Siddiqui, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447833355

Dr. Omar Siddiqui, DO is an Internal Medicine in Elmira, New York. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2021, 5 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
PA
In the registry since
2021
Specialties on file
2
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

600 Roe Ave
Elmira, NY 14905-1629
Phone: (607) 737-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 S Front St, Harrisburg, PA 17101-2010 — (717) 231-8772

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OS023823 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447833355
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 29, 2021
Last updated in NPPESNovember 29, 2024
Certification dateNovember 29, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2021 (5 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Elmira