Individual provider Active NPI

Craig O Siegel, MD

  • Interventional Cardiology Physician
  • Bellefontaine, OH
National Provider Identifier
1265496582
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35.146036 Issued in OH
Practice address
1134 N Main St Ste 2500
Bellefontaine, OH 43311-2382
Phone
(937) 592-9221
Fax
(937) 292-5033
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.146036 OH
Cardiovascular Disease Physician 207RC0000X G8418 TX
Interventional Cardiology Physician 207RI0011X G8418 TX
Interventional Cardiology Physician 207RI0011X 35.146036 OH Primary

Addresses

Primary practice location

1134 N Main St Ste 2500
Bellefontaine, OH 43311-2382

Mailing address

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-9221

Other identifiers 1

IdentifierTypeStateIssuer
0497372MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220830003275 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0244232056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Baylor College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

1134 N Main St
Suite 1100
Bellefontaine, OH 43311-2379
Phone (937) 651-6820

1134 N Main St
Suite 2500
Bellefontaine, OH 43311-2382
Phone (937) 592-9221

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

Hospital & facility affiliations

  • Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital CurrentSince Aug 1, 2022 Accepting new patients
Mary Rutan Hospital CurrentSince Aug 1, 2022 Accepting new patients
Mary Rutan Hospital Current Accepting new patients
San Antonio Cardiology Clinic PA Cardiovascular Disease Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Carolinaeast Medical Center Past Accepting new patients
The Heart Center of Eastern Carolina Cardiovascular Disease Past Accepting new patients

Locations

1134 N Main St
Ste 2500
Bellefontaine, OH 43311
Phone (937) 292-3494

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

Interoperability endpoints

  • Direct secure messaging: 2564-siegel-craig@direct.leadingreach.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1265496582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E PALMER RD",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112281",
            "telephone_number": "937-592-9221",
            "fax_number": "937-292-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 N MAIN ST STE 2500",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112382",
            "telephone_number": "937-592-9221",
            "fax_number": "937-292-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "CRAIG",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.146036",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G8418",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "G8418",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35.146036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0497372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.