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

Shad Siddiqi, DO

Individual provider Anesthesiology Physician · NPI 1154733285

Shad Siddiqi, DO is a Pain Management in Southfield, Michigan. Qualified in 2014, 12 years ago. Practices with Henry Ford Semi Medical Group, a 253-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

22250 Providence Dr Ste 401
Southfield, MI 48075-6212
Phone: (866) 974-2673
Fax: (866) 939-2673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 5101024603 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 5101024603 (MI)

Record details

NPI number1154733285
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 23, 2014
Last updated in NPPESAugust 1, 2019
Mailing address18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Henry Ford Semi Medical Group — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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