NPI age
16 years
Enumerated 2010-05-26
● Active
Type 1 · Individual
Khurrum Siddique, M.D.
Siddique is 1 of 14 pediatrics providers in San Antonio and 1 of 82 in Texas.
Primary specialty
Pediatrics
Plus 3 subspecialties
Licensed in
IL, TX, NC
3 states
Status
Active
No deactivations on record
Last NPPES update
2026-01-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 82 active pediatrics providers in Texas.
NPI age
16 years
≈ at median (17 yr)
State licenses
3 states
Top 75% — 24% of peers are multi-state
Subspecialties
1
In the 43% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-05Enumerated in NPPES
2010
2026
Where they practice
Practice location
333 N Santa Rosa
San Antonio, TX 782073108
Mailing address
333 N Santa Rosa
San Antonio, TX 782073108
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
2821 Michaelangelo Dr Ste 101
Edinburg, TX 785391411
Location 3
9555 S 52nd Ave
Oak Lawn, IL 604533054
Location 4
Medical Center Blvd
Winston Salem, NC 271573108
Specialties
-
Pediatrics PrimaryA pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 321120302 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 246 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.