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

MS. Fazila Mahmood Siddiqui, NP

Individual provider Family Nurse Practitioner · NPI 1376186460

MS. Fazila Mahmood Siddiqui, NP is a Nurse Practitioner in Novi, Michigan. Qualified in 2019, 7 years ago. Practices with Complexcare Medical Group Midwest M PLLC, a 80-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

47601 Grand River Ave
Novi, MI 48374-1233
Phone: (248) 465-4311
Fax: (248) 465-4651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704278023 (MI)

Record details

NPI number1376186460
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 22, 2019
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Complexcare Medical Group Midwest M Pllc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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