Mark R Siegelheim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

152199 Issued in NY

Practice address

200 Howells Rd
Bay Shore, NY 11706-5300

Phone

(631) 665-5074

Fax

(631) 665-1852

NPI assigned

Jun 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235134602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOWELLS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065300",
            "telephone_number": "631-665-5074",
            "fax_number": "631-665-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOWELLS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065300",
            "telephone_number": "631-665-5074",
            "fax_number": "631-665-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGELHEIM",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "152199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bilal Ahmed Siddiqui, MD
• Mohamed Amin Siddiqui, M.D., MBBS
• Muzammil Siddiqui, DO
• Sanah Siddiqui, MD
• Dana B Siegel, DPM
• Rachel Claire Siehs, L.M.H.C., N.C.C
• Siena Residence
• Signature Hand Therapy O.T. P.C.
• Katherine Silva, PA
• Naomi Silva, LMSW

• Internal Medicine Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.