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

Majid Nasir Siddiqi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114615374

Majid Nasir Siddiqi is a Certified Registered Nurse Anesthetist (CRNA) in Avon, Indiana. Qualified in 2023, 3 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

808 Flying Sun Dr
Avon, IN 46123-9848
Phone: (317) 658-6406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1775 Dempster St, Park Ridge, IL 60068-1143 — (847) 723-2210

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209.028872 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114615374
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 26, 2023
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Avon