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

Omar K. Siddiqi, MD

Individual provider Internal Medicine Physician · NPI 1508069816

Omar K. Siddiqi, MD is a Cardiovascular Disease (Cardiology) in Boston, Massachusetts. Graduated from Washington University School of Medicine in 2007, 19 years ago. Practices with Evans Medical Foundation Inc, a 526-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Pennsylvania.

Years since qualifying
19
Trained at
Washington University School of Medicine
Licensed in
MA, PA
In the registry since
2007
Specialties on file
2
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

732 Harrison Ave Preston 3rd Fl
Boston, MA 02118-2309
Phone: (617) 638-7490
Fax: (617) 414-8742
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Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 243423 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT190752 (PA)

Record details

NPI number1508069816
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2007
Last updated in NPPESMay 12, 2014

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Evans Medical Foundation Inc — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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