Individual provider Active NPI

Sarosh F Siddiqi, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Seattle, WA
National Provider Identifier
1225175714
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
01079807A Issued in IN
Practice address
1560 N 115TH St
G-10
Seattle, WA 98133-8414
Phone
(260) 368-1558
Fax
(206) 368-5751
NPI assigned
Jan 31, 2007
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00042673 WA
Internal Medicine Physician 207R00000X MD00042673 WA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01079807A IN Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD00042673 WA
Pulmonary Disease Physician 207RP1001X MD00042673 WA

Addresses

Primary practice location

1560 N 115TH St
G-10
Seattle, WA 98133-8414

Mailing address

9809 NE 30TH St
G-10
Bellevue, WA 98004-1840
Phone (253) 347-2606

Other practice location 1

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020

Other practice location 2

12728 19th Ave SE Ste 300
Everett, WA 98208-6676
Phone (425) 252-1116

Other identifiers 2

IdentifierTypeStateIssuer
8378432MedicaidWA
P00272135OtherWARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040317000978 WA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2668362229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians

Practice addresses (Care Compare)

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 416-5750

1700 13TH St
Everett, WA 98201-1689
Phone (425) 791-3093

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00042673WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 5, 2018 Accepting new patients
Western Washington Medical Group, Inc PS Critical Care Medicine CurrentSince Jan 27, 2020 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Jan 27, 2020 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jan 5, 2018 Accepting new patients
Harper Hutzel Hospital Past Accepting new patients
Harper Hutzel Hospital Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

12728 19th Ave SE
Ste 300
Everett, WA 98208
Phone (425) 252-1116

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1700 13th St
Everett, WA 98201
Phone (425) 252-0895

1728 W Marine View Dr
Ste 111
Everett, WA 98201

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

Interoperability endpoints

  • Direct secure messaging: ssiddiqi12470@skagit.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1225175714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9809 NE 30TH ST",
            "address_2": "G-10",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041840",
            "telephone_number": "253-347-2606",
            "fax_number": "561-282-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N 115TH ST",
            "address_2": "G-10",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338414",
            "telephone_number": "260-368-1558",
            "fax_number": "206-368-5751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11109 Parkview Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451701",
            "country_code": "US",
            "telephone_number": "260-266-2020",
            "fax_number": "260-266-2009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12728 19th Ave SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982086676",
            "country_code": "US",
            "telephone_number": "425-252-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "SAROSH",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00042673",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00042673",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01079807A",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD00042673",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD00042673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8378432",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00272135",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.