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

Omer Asif Siddiqui, MD

Individual provider Internal Medicine Physician · NPI 1659577278

Omer Asif Siddiqui, MD is a Nephrology in Memphis, Tennessee. Qualified in 2010, 16 years ago. Practices with UT Medical Group Inc, a 95-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas, Mississippi and Tennessee.

Years since qualifying
16
Licensed in
AR, MS, TN
In the registry since
2007
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

1325 Eastmoreland Ave Ste 445
Memphis, TN 38104-7536
Phone: (901) 866-8810
Fax: (901) 302-2450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7601 Southcrest Pkwy, Southaven, MS 38671-4739 — (662) 772-2980
  • 6019 Walnut Grove Rd, Memphis, TN 38120-2113 — (901) 226-3610

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 46512 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 23721 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence E6551 (AR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 46512 (TN)

Record details

NPI number1659577278
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2007
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ut Medical Group Inc — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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