Active NPI
Sheikh M Sadiq, MD
- Neurology Physician
- Belleville, IL
National Provider Identifier
1164474102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036114612
- Practice address
- 4550 Memorial Dr
Suite 340
Belleville, IL 62226-5372 - Phone
- (618) 257-4243
- Fax
- (618) 257-4838
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036114612 | IL | Primary |
Addresses
Primary practice location
4550 Memorial Dr
Suite 340
Belleville, IL 62226-5372
Mailing address
4500 Memorial Drive
Memorial Hospital Medical Affairs Credentialing Dept
Belleville, IL 62226
Phone (618) 257-4644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361146121 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pekin Prohealth Inc | Neurology | Past | Accepting new patients |
| Ozarks Medical Center | Neurology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Neurology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1164474102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 MEMORIAL DRIVE",
"address_2": "MEMORIAL HOSPITAL MEDICAL AFFAIRS CREDENTIALING DEPT",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "62226",
"telephone_number": "618-257-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 MEMORIAL DR",
"address_2": "SUITE 340",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265372",
"telephone_number": "618-257-4243",
"fax_number": "618-257-4838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADIQ",
"first_name": "SHEIKH",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036114612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361146121",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.