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

Hassaan Siddiqui, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487275269

Hassaan Siddiqui, DO is an Internal Medicine in Lafayette, Indiana. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2020, 6 years ago. Practices with McLaren Medical Group, a 247-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
IN
In the registry since
2020
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

2600 Greenbush St
Lafayette, IN 47904-2479
Phone: (765) 448-8000
Fax: (765) 448-7624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093-3467 — (586) 582-6630

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 02007092A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487275269
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 2, 2020
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2020 (6 years in practice)
Group practice McLaren Medical Group — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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