MUSTAFA SIDDIQUE – NPI #1487997284
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

MUSTAFA SIDDIQUE is a surgeon located in TRENTON, MI. NPPES has assigned the NPI number 1487997284 to MUSTAFA SIDDIQUE on March 29, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was last updated on Dec 15, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MUSTAFA SIDDIQUE below.

NPI Profile for
MUSTAFA SIDDIQUE

NPI Number
1487997284
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MUSTAFA SIDDIQUE
Primary location
5400 FORT ST STE 200
TRENTON, MI 48183-4636
Phone: (734) 362-6730 Fax: (734) 362-6735
Mailing address
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Dec 15, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 MI 4301507567

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MUSTAFA SIDDIQUE is affiliated with the following medical group(s):
  • HOSPITAL
    • BEAUMONT HOSPITAL - TRENTON
      5450 FORT STREET
      TRENTON, MI 48183

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