NPIMap

Individual provider Active NPI

Ismaeel Siddiqi

  • Internal Medicine Physician
  • Cincinatti, OH
National Provider Identifier
1386103273
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05228 Issued in KY
Practice address
234 Goodman Street ML 0781- Internal Medicine
Cincinatti, OH 45219
Phone
(513) 584-4505
Fax
(513) 584-0468
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 05228 KY Primary

Addresses

Primary practice location

234 Goodman Street ML 0781- Internal Medicine
Cincinatti, OH 45219

Mailing address

234 Goodman Street, ML 0781
Cincinnati, OH 45219-2364
Phone (513) 584-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221101002279 KY Practitioner - Internal Medicine 0840525903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Kentucky, PSCGroup PAC ID 0648294157, 106 clinicians
Hospital Medicine Services of Tennessee PCGroup PAC ID 9234432881, 157 clinicians

Practice addresses (Care Compare)

1 Saint Joseph Dr
Lexington, KY 40504-3742
Phone (859) 313-1000

150 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 967-5000

360 Amsden Ave
Versailles, KY 40383-1286
Phone (859) 873-3111

Hospital & facility affiliations

  • Hospice of the Bluegrass, Inc Dba Bluegrass Care N Hospice, Lexington, KY, CCN 181500
  • Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101
  • Bourbon Community Hospital Hospital, Paris, KY, CCN 180046
  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
  • Bluegrass Community Hospital Hospital, Versailles, KY, CCN 181308
  • Saint Joseph East Hospital, Lexington, KY, CCN 180143

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
77.5
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05228KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Kentucky, PSC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
24 On Physicians, P.C. CurrentSince Apr 19, 2023 Accepting new patients
24 On Physicians, PC CurrentSince Apr 19, 2023 Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients
Bourbon Community Hospital LLC Past Accepting new patients
Georgetown Community Hospital LLC Past Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients

Locations

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: jduff292264@direct.stlukeshealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1386103273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 GOODMAN STREET, ML 0781",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-584-4505",
            "fax_number": "515-584-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN STREET ML 0781- INTERNAL MEDICINE",
            "city": "CINCINATTI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-584-4505",
            "fax_number": "513-584-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "ISMAEEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "05228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinatti, OH

Sources for this page

Verify at the official NPI Registry.