Individual provider Active NPI

Noaman Fasih Siddiqi, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1124294749
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01068552A Issued in IN
Practice address
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone
(317) 880-7666
NPI assigned
May 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7915 SD
Nephrology Physician 207RN0300X 01068552A IN
Internal Medicine Physician 207R00000X 125.052969 IL
Hospitalist Physician 208M00000X 01068552A IN
Internal Medicine Physician 207R00000X 01068552A IN Primary

Addresses

Primary practice location

720 Eskenazi Ave
Indianapolis, IN 46202-5187

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939

Other practice location 1

1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone (317) 962-8776

Other practice location 2

1305 W 18th St
Sioux Falls, SD 57105-0401
Phone (605) 328-4973

Other identifiers 2

IdentifierTypeStateIssuer
201066260MedicaidIN
068010805OtherINMEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address NSIDDIQI@IUHEALTH.ORG
Direct Messaging Address nsiddiqi108920@direct.eskenazihealth.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX, IL, AL, MO5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20120530000010 IN Practitioner - Internal MedicinePractitioner - Hospitalist 7618157470 Reassigns benefits to 6 organizations
I20140212001489 TX Practitioner - Internal Medicine 7618157470 Reassigns benefits to 1 organization
I20140523002142 IL Practitioner - Internal Medicine 7618157470
I20150728005216 AL Practitioner - Internal Medicine 7618157470 Reassigns benefits to 3 organizations
I20161108001131 MO Practitioner - HospitalistPractitioner - Internal Medicine 7618157470 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group Indiana PCGroup PAC ID 8729155742, 70 clinicians
Eskenazi Medical Group IncGroup PAC ID 4284546813, 134 clinicians

Practice addresses (Care Compare)

600 E Blvd
Elkhart, IN 46514-2483
Phone (574) 389-7393

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 880-7666

Hospital & facility affiliations

  • Eskenazi Health Hospital, Indianapolis, IN, CCN 150024
  • Huron Regional Medical Center Hospital, Huron, SD, CCN 431335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.052969ILMDInternal Medicine Physician
7915SDMDInternal Medicine Physician
01068552AINMDNephrology Physician
2006012213MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Apogee Medical Group Indiana PC Internal Medicine CurrentSince Nov 5, 2020 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Dec 7, 2020 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Mercy Clinic Adult Hospitalists- Jefferson, LLC Internal Medicine CurrentSince Jan 7, 2020 Accepting new patients
University Family Physicians, Inc. Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Eskenazi Medical Group Inc Internal Medicine CurrentSince Jun 26, 2023 Accepting new patients
American Family Care, LLC CurrentSince May 19, 2015 Accepting new patients
American Family Care, LLC CurrentSince May 19, 2015 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince May 2, 2022 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Aug 1, 2015 Accepting new patients
American Family Care, LLC Current Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Internal Medicine CurrentSince Dec 7, 2020 Accepting new patients
University Family Physicians, Inc. CurrentSince May 1, 2022 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Nov 22, 2013 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 15, 2016 Accepting new patients
Mercy Clinic Joplin LLC Internal Medicine CurrentSince Aug 2, 2017 Accepting new patients
Eskenazi Medical Group Inc CurrentSince Jun 26, 2023 Accepting new patients
Northern Alabama Physicians, LLP Current Accepting new patients
Mercy Clinic Springfield Communities Internal Medicine CurrentSince Nov 15, 2016 Accepting new patients
Northern Alabama Physicians, LLP Hospitalist CurrentSince Dec 23, 2018 Accepting new patients
Mercy Clinic Springfield Communities Internal Medicine CurrentSince Nov 15, 2016 Accepting new patients

Locations (25 of 32)

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

7216 Solutions Ctr
Chicago, IL 60677

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818

1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

Interoperability endpoints

  • Direct secure messaging: nsiddiqi@iuhealth.org

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1209772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1124294749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637764",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637764",
            "telephone_number": "317-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ESKENAZI AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025187",
            "telephone_number": "317-880-7666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N Senate Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025306",
            "country_code": "US",
            "telephone_number": "317-962-8776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571050401",
            "country_code": "US",
            "telephone_number": "605-328-4973",
            "fax_number": "605-328-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "NOAMAN",
        "middle_name": "FASIH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-03",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "7915",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01068552A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.052969",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01068552A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01068552A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201066260",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "068010805",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NSIDDIQI@IUHEALTH.ORG",
            "affiliation": "N",
            "address_1": "1701 N Senate Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsiddiqi108920@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "720 Eskenazi Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.