Individual provider Active NPI

Soud Sediqe I, M.D.

  • Pulmonary Disease Physician
  • San Diego, CA
National Provider Identifier
1366820540
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A171978 Issued in CA
Practice address
8008 Frost St Ste 401
San Diego, CA 92123-4209
Phone
(858) 309-5931
Fax
(858) 810-6908
NPI assigned
May 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A171978 CA
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X A171978 CA Primary

Addresses

Primary practice location

8008 Frost St Ste 401
San Diego, CA 92123-4209

Mailing address

8555 Aero Dr Ste 104
San Diego, CA 92123-1744
Phone (858) 650-5036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210513002514 CA Practitioner - Pulmonary Disease 3870893316 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Ohio State University College of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Samuel J Clark MD IncGroup PAC ID 0547279499, 3 clinicians
Avicenna Critical Care, PCGroup PAC ID 6507290657, 5 clinicians
Chest Medicine and Critical Care Medical Group IncGroup PAC ID 6103898259, 26 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

1940 El Cajon Blvd
San Diego, CA 92104-1005
Phone (619) 543-4500

250 Prospect PL
Coronado, CA 92118-1943
Phone (619) 522-3600

3075 Health Ctr Dr
San Diego, CA 92123-2773
Phone (858) 939-5864

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
73.46
Improvement activities
20
Cost
73.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171978CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Jun 28, 2021 Accepting new patients
The Metrohealth System Current Accepting new patients
KND Development 59 LLC Current Accepting new patients
Avicenna Critical Care, PC Internal Medicine CurrentSince May 13, 2024 Accepting new patients
Samuel J. Clark, M.D., Inc. Pulmonary Disease CurrentSince Feb 1, 2024 Accepting new patients
Chest Medicine and Critical Care Medical Group, Inc. Internal Medicine CurrentSince May 1, 2021 Accepting new patients
KND Development 59, LLC CurrentSince Feb 1, 2023 Accepting new patients
KND Development 59 LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

8665 La Mesa Blvd
La Mesa, CA 91942
Phone (619) 465-0702

8555 Aero Dr
Ste 104
San Diego, CA 92123
Phone (858) 650-5036

3075 Health Center Dr
Ste 400
San Diego, CA 92123
Phone (858) 939-3831

1940 El Cajon Blvd
San Diego, CA 92104
Phone (619) 543-4500

4940 El Cajon Blvd
San Diego, CA 92115
Phone (619) 543-4500

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

8008 Frost St
Ste 401
San Diego, CA 92123
Phone (858) 309-5931

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Interoperability endpoints

  • Direct secure messaging: ssediqe103421@direct.metrohealth.org

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 5

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": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1366820540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 AERO DR STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231744",
            "telephone_number": "858-650-5036",
            "fax_number": "858-650-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 FROST ST STE 401",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234209",
            "telephone_number": "858-309-5931",
            "fax_number": "858-810-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDIQE",
        "first_name": "SOUD",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A171978",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A171978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.