Active NPI
Sarosh F Siddiqi, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 01079807A
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8378432 | Medicaid | WA | |
| P00272135 | Other | WA | RAILROAD 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD00042673 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Critical Care Medicine | Current | Accepting new patients |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | 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
- 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.
-
dba Skagit Regional Clinics
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
dba WWMG Department of Psychiatry
- Psychiatry Physician
- Everett, WA
- NPI 1396413803
-
dba Skagit Regional Health - Mount Vernon Physical Therapy
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
dba Western Wa Med Grp Dept of Pulmonary, Sleep Disorders, Critical Care
- Pulmonary Disease Physician
- Everett, WA
- NPI 1215155619
Critical Care Medicine
-
dba Western Washington Medical Group Dept of Infectious Disease
- Infectious Disease Physician
- Everett, WA
- NPI 1427816305
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1205997269
-
- Clinic/Center
- Detroit, MI
- NPI 1417150327
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Regional Medical Center Everett
- Hospitalist Physician
- Everett, WA
- NPI 1649615220
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
-
dba Skagit Valley Hospital
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.