Jennifer A Siegel, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A54919 Issued in CA

Practice address

2250 North Illinois Ave
Carbondale, IL 62901

Phone

(618) 833-1691

Fax

(618) 503-0688

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

88.68 of 100Reported as group

Quality

82.35

Promoting interoperability

100

Improvement activities

40

Cost

76.6

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsiegel244309@direct.phs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alteon Health New Mexico LLC

  • Emergency Medicine Physician
  • Hobbs, NM
  • NPI 1457636706
  Medicare reassignment NPD
• Curry Emergency Group LLC

  • Emergency Medicine Physician
  • Clovis, NM
  • NPI 1508223082
  Medicare reassignment NPD
• Timothy D Peterson, MD PC

  dba Mogul Medical Urgent Care

  • Urgent Care Clinic/Center
  • Taos Ski Valley, NM
  • NPI 1073818555
  Medicare reassignment
• Statera Health Care, LLC

  • Emergency Medicine Physician
  • Harrisburg, IL
  • NPI 1043874449
  NPD (past)
• Centinela Freeman Emergency Medical Associates

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1962539684
  NPD (past)
• Max Franklin Lebow, a Medical Corporation

  dba Emergency Physician Services Medical Assoicates

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1043255813
  NPD (past)
• Michael a Rowley MD PA

  • Diagnostic Radiology Physician
  • Clovis, NM
  • NPI 1174716781
  NPD (past)
• Northridge Emergency Medical Group

  • Emergency Medicine Physician
  • Northridge, CA
  • NPI 1093771222
  NPD (past)
• Valley Emergency Medical Associates

  • Emergency Medicine Physician
  • Panorama City, CA
  • NPI 1801837299
  NPD (past)
• Valley Presbyterian Emergency Medical Associates

  • Emergency Medicine Physician
  • Van Nuys, CA
  • NPI 1033133103
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1114972536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NORTH ILLINOIS AVE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "618-833-1691",
            "fax_number": "618-503-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NORTH ILLINOIS AVE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "618-833-1691",
            "fax_number": "618-503-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A54919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A549190",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A549190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keni Sherrell, LPN
• Daniel Sherwood, PA
• Roger Sebastian Shinnerl, M.D.
• Jennifer Marie Shopinski, APN, CNM, IBCLC
• Reshma Banu Siddotam, PT
• Amal Sieny, LCSW
• Ricardo Andres Siller de la Rosa, MD
• Ro-Kaye Alethea Simmonds, MBBS
• Rosemary Elizabeth Simmons, PH.D.
• James E Simpson, D.M.D

• Emergency Medicine Physician in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.