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

Khurrum Siddique, MD

Individual provider Pediatric Nephrology Physician · NPI 1154640324

Khurrum Siddique, MD is a Nephrology in San Antonio, Texas. Qualified in 2004, 22 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois, North Carolina and Texas.

Years since qualifying
22
Licensed in
IL, NC, TX
In the registry since
2010
Specialties on file
4
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

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone: (210) 704-3030
Show map & directions

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

Additional practice locations (3)

  • 9555 S 52nd Ave, Oak Lawn, IL 60453-3054 — (708) 684-5437
  • Medical Center Blvd, Winston Salem, NC 27157-3108 — (336) 713-4500
  • 2821 Michaelangelo Dr Ste 101, Edinburg, TX 78539-1411 — (956) 362-8200

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence 036.163809 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence P6084 (TX)
Pediatric Nephrology Physician Taxonomy 2080P0210X · Licence 2024-01519 (NC)
Pediatric Nephrology Physician Taxonomy 2080P0210X · Licence P6084 (TX)

Record details

NPI number1154640324
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2010
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing address333 N Santa Rosa, San Antonio, TX 78207-3108

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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