Individual provider Active NPI

Raheela Sadiq, MD

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1235106758
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N2766 Issued in TX
Practice address
6300 W Parker Rd Ste 128
Plano, TX 75093-8183
Phone
(972) 981-8658
Fax
(972) 981-8657
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X MD00037438 WA
Internal Medicine Physician 207R00000X MD00037483 WA
Internal Medicine Physician 207R00000X MD00037438 WA
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X MD00037438 WA
Internal Medicine Physician 207R00000X N2766 TX Primary

Addresses

Primary practice location

6300 W Parker Rd Ste 128
Plano, TX 75093-8183

Mailing address

6300 W Parker Rd Ste 128
Plano, TX 75093-8183
Phone (972) 981-8658

Other practice location 1

1717 So J St St Joseph Medical Center
Hyperbaric Unit & Wound Clinic
Tacoma, WA 98405
Phone (253) 426-6630

Other identifiers 18

IdentifierTypeStateIssuer
0170254OtherWAWA LABOR & INDUSTRIES
8247793MedicaidWA
912080948OtherWAGROUP HEALTH
912080948OtherWAREGENCE
912080948OtherWAFIRST HEALTH
912080948OtherWATRICARE
912080948OtherWAPACIFICCARE/SECURE HORIZON
DO1827OtherWARAILROAD MEDICARE
912080948OtherWACIGNA
912080948OtherWAAETNA INSURANCE
912080948OtherWAUNITED HEALTHCARE
912080948OtherWAFIRST CHOICE HEALTH PLANS
912080948OtherWAMOLINA
3130SAOtherWAREGENCE BLUE SHIELD
912080948OtherWAPRIVATE HEALTHCARE SYSTEM
912080948OtherWAKITSAP HEALTH PLANS
912080948OtherWAUNIFORM MEDICAL PLAN
912080948OtherWAPREMERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170822003013 TX Practitioner - Internal Medicine 7719975648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Wound Care Specialists LLCGroup PAC ID 4183097983, 7 clinicians

Practice addresses (Care Compare)

6300 W Parker Rd
Medical Office Building 2 Suite 128
Plano, TX 75093-8100
Phone (253) 223-9333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue742
Removal of skin lesions14
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N2766TXMDInternal Medicine Physician
MD00037483WAMDInternal Medicine Physician
MD00037438WAMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Texas, PLLC Internal Medicine CurrentSince Oct 7, 2017 Accepting new patients
Texas Wound Care Specialists LLC Undersea and Hyperbaric Medicine CurrentSince Jan 1, 2023 Accepting new patients
Premier Provider Health PA Internal Medicine Past Accepting new patients
Good Samaritan Community Healthcare Internal Medicine Past Accepting new patients
Peninsula Internal Medicine Associates PS Internal Medicine Past Accepting new patients
Munoz Regimbal and Associates Physicians Professional LLC Past Accepting new patients

Locations

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

2900 N I 35
Ste 205
Denton, TX 76201
Phone (940) 898-7182

6300 W Parker Rd
Ste 128
Plano, TX 75093
Phone (214) 550-2099

6300 W Parker Rd
Ofc
Plano, TX 75093
Phone (253) 223-9333

725 N Graham St
Ste 600
Stephenville, TX 76401
Phone (254) 965-1171

Organizations & group practices 6

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 7

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235106758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD STE 128",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938183",
            "telephone_number": "972-981-8658",
            "fax_number": "972-981-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD STE 128",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938183",
            "telephone_number": "972-981-8658",
            "fax_number": "972-981-8657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 So J St St Joseph Medical Center",
            "address_2": "Hyperbaric Unit & Wound Clinic",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "98405",
            "country_code": "US",
            "telephone_number": "253-426-6630",
            "fax_number": "253-426-6545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "RAHEELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "WA",
            "license": "MD00037438",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00037483",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00037438",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "WA",
            "license": "MD00037438",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N2766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LABOR & INDUSTRIES",
            "identifier": "0170254",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8247793",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "912080948",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "912080948",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "912080948",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "912080948",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICCARE/SECURE HORIZON",
            "identifier": "912080948",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO1827",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "912080948",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "912080948",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "912080948",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE HEALTH PLANS",
            "identifier": "912080948",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "912080948",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "3130SA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "912080948",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KITSAP HEALTH PLANS",
            "identifier": "912080948",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFORM MEDICAL PLAN",
            "identifier": "912080948",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA",
            "identifier": "912080948",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.