NPI age
18 years
Enumerated 2008-05-30
● Active
Type 1 · Individual
Sartaj Kadiwala Siddiqui, D.O.
Siddiqui is 1 of 1 pediatrics providers in Victoria and 1 of 729 in Texas.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
TX, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-10-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 729 active pediatrics providers in Texas.
NPI age
18 years
≈ at median (19 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
1
In the 47% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Practice location
101 Medical Dr
Victoria, TX 779043102
Mailing address
1000 Haddonfield Berlin Rd Ste 210
Voorhees, NJ 080433520
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1500 S Main St
Fort Worth, TX 761044917
Specialties
-
Pediatrics PrimaryA pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
-
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 (FL) | 003652900 | |
| 01 (FL) | 14E5Q | BCBSFL |
| 05 (GA) | 003110020A | |
| 05 (TX) | 3664609 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 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.