P Praxis·MD
● Active Type 1 · Individual

Ashfaq H Siddiqui, MD FACS

Surgery·Mansfield, TX· NPI 1417952623 · Enumerated 2005 · 20 years on NPI
Siddiqui is 1 of 2 surgery providers in Mansfield and 1 of 489 in Texas.
NPI age
20 years
Enumerated 2005-06-15
Primary specialty
Surgery
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-05-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 489 active surgery providers in Texas.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
49% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
309 Regency Pkwy, Suite 207
Mansfield, TX 760635165
📞 8172252716fax 8172252719
Mailing address
309 Regency Pkwy, Suite 207
Mansfield, TX 760635165
📞 8172252716fax 8172252719

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    TX license #L5562 taxonomy 2086S0129X

Identifiers

TypeValueNotes
01 (TX) 1488594 AETNA
01 (TX) P00439527 RR MEDICARE
01 (TX) 0057PA BCBS
01 (TX) P00439527 MEDICARE RR
05 (TX) 1919615

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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