NPIMap

Individual provider Active NPI

Israr Azim Siddiqi, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Elkhart, IN
National Provider Identifier
1346289501
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
01058354A Issued in IN
Practice address
525 W Bristol St
Elkhart, IN 46514-2964
Phone
(574) 262-0329
Fax
(574) 295-5922
NPI assigned
Jun 5, 2006
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01058354A IN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 01058354A IN Primary

Addresses

Primary practice location

525 W Bristol St
Elkhart, IN 46514-2964

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (547) 647-1840

Other practice location 1

3301 County Road 6 E
Elkhart, IN 46514-7673
Phone (574) 262-0239

Other identifiers 1

IdentifierTypeStateIssuer
200466160MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address isiddiqi@mybeacon.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713001276 IN Practitioner - Internal MedicinePractitioner - Sleep Medicine 6406834522 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians
Provider Partners Care Management LPGroup PAC ID 9335379270, 31 clinicians

Practice addresses (Care Compare)

525 W Bristol St
Elkhart, IN 46514-2964
Phone (574) 295-5900

950 N Lakeview Dr
Morning Breeze
Greensburg, IN 47240-3405
Phone (812) 662-7778

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01058354AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Oct 1, 2024 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Beacon Medical Group Inc CurrentSince Dec 1, 2020 Accepting new patients
Michiana Internal Medicine PC Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients
Beacon Medical Group, Inc. Sleep Medicine CurrentSince Dec 1, 2020 Accepting new patients
Michiana Hospitalist LLC Internal Medicine Past Accepting new patients
Munising Memorial Hospital Association Past Accepting new patients
Southwestern Medical Clinic PC Past Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

3301 County Road 6 E
Elkhart, IN 46514
Phone (574) 264-9635

525 W Bristol St
Elkhart, IN 46514
Phone (574) 262-0239

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

950 N Lakeview Dr
Greensburg, IN 47240
Phone (812) 662-7778

615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

Interoperability endpoints

  • Direct secure messaging: isiddiqi@mich.curemd.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Riverside VillageElkhart, IN, CCN 155695 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2019
Jun 19, 2026
Valley View Healthcare CenterElkhart, IN, CCN 155496 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2024
May 27, 2025
Greenleaf Health CampusElkhart, IN, CCN 155783 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2015
Apr 16, 2026

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1346289501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "547-647-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142964",
            "telephone_number": "574-262-0329",
            "fax_number": "574-295-5922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 County Road 6 E",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465147673",
            "country_code": "US",
            "telephone_number": "574-262-0239",
            "fax_number": "574-262-8391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "ISRAR",
        "middle_name": "AZIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01058354A",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01058354A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200466160",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isiddiqi@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "3301 County Road 6 E",
            "city": "Elkhart",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465147673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.