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NPISignal

Individual Healthcare Provider

Khurrum Siddique, M.D.

NPI Record: ActivePediatrics — Pediatric Nephrology
NPI1154640324
San Antonio, Texas

Provider's NPPES record last updated: January 23, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1154640324
Primary Specialty
Pediatrics — Pediatric Nephrology
Practice Location
San Antonio, Texas
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 2:23 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Pediatric Nephrology

    Allopathic & Osteopathic Physicians

    Primary

    A 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 abnormalities, hypertension and renal replacement therapy.

    Taxonomy code 2080P0210X
  • Pediatrics

    Allopathic & Osteopathic Physicians

    A 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 of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

    Taxonomy code 208000000X

Provider-Reported License Information

Pediatrics (Illinois)
036.163809
Pediatrics (Texas)
P6084
Pediatrics (North Carolina)
2024-01519
Pediatrics (Texas)
P6084
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

333 N Santa Rosa

San Antonio, Texas 78207-3108

Phone: (210) 704-3030

Additional Practice Location

Medical Center Blvd

Winston Salem, North Carolina 27157-3108

Phone: (336) 713-4500

Fax: (336) 713-4501

Additional Practice Location

9555 S 52nd Ave

Oak Lawn, Illinois 60453-3054

Phone: (708) 684-5437

Fax: (708) 876-1569

Additional Practice Location

2821 Michaelangelo Dr Ste 101

Edinburg, Texas 78539-1411

Phone: (956) 362-8200

Fax: (956) 362-8204

Record Information

Enumeration Date
May 26, 2010
Provider's NPPES Record Last Updated
January 23, 2026
Certification Date
January 23, 2026
NPISignal NPPES Dataset
August 2026

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