Individual provider Active NPI

Saadi Ahmad Siddiqi, D.O.

  • Interventional Cardiology Physician
  • Oak Ridge, TN
National Provider Identifier
1396944575
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2582 Issued in TN
Practice address
80 Vermont Ave
Oak Ridge, TN 37830-6474
Phone
(865) 482-4078
Fax
(865) 482-4960
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 2582 TN Primary

Addresses

Primary practice location

80 Vermont Ave
Oak Ridge, TN 37830-6474

Mailing address

80 Vermont Ave
Oak Ridge, TN 37830-6474
Phone (865) 482-4078

Other identifiers 1

IdentifierTypeStateIssuer
Q004089MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address siddiqi.saadi@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20131114000508 TN Practitioner - Cardiovascular Disease (Cardiology) 7315027968 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Medical Center, Inc.Group PAC ID 3870401441, 9 clinicians
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians
Roane County Medical CenterGroup PAC ID 8921167545, 7 clinicians
Methodist Medical CenterGroup PAC ID 7012812860, 7 clinicians

Practice addresses (Care Compare)

421 S Main St
Crossville, TN 38555-5048
Phone (931) 484-9511

80 Vermont Ave
Oak Ridge, TN 37830-6474
Phone (865) 482-4078

8045 Roane Medical Ctr Dr
Harriman, TN 37748-8333
Phone (865) 316-1000

990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Phone (865) 481-1000

Hospital & facility affiliations

  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009
  • Roane Medical Center Hospital, Harriman, TN, CCN 440031
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

Merit-based Incentive Payment System (MIPS)

Final score
85.71 of 100Reported as individual
Quality
87.65
Promoting interoperability
100
Improvement activities
20

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2582TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Aug 1, 2020 Accepting new patients
Roane County Medical Center Current Accepting new patients
Methodist Medical Center CurrentSince Mar 1, 2014 Accepting new patients
Roane County Medical Center CurrentSince Sep 24, 2014 Accepting new patients
Fort Sanders Regional Medical Center CurrentSince Feb 1, 2023 Accepting new patients
Covenant Medical Group, Inc. Interventional Cardiology CurrentSince Aug 1, 2020 Accepting new patients
Cumberland Medical Center, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Parkwest Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Scenic Drive Inpatient Services LLC Past Accepting new patients
Parkwest Medical Center Past Accepting new patients

Locations

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

100 Lantana Rd
Ste 202
Crossville, TN 38555
Phone (931) 484-5141

8045 Roane Medical Center Dr
Harriman, TN 37748
Phone (865) 316-1000

8035 Roane Medical Center Dr
Ste 130
Harriman, TN 37748
Phone (865) 314-3650

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

Dept 888179
Knoxville, TN 37995

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

Dept 888001
Knoxville, TN 37995

Dept 888540
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

80 Vermont Ave
Oak Ridge, TN 37830
Phone (423) 482-4078

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

Organizations & group practices 10

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1396944575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 VERMONT AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306474",
            "telephone_number": "865-482-4078",
            "fax_number": "865-482-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 VERMONT AVE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306474",
            "telephone_number": "865-482-4078",
            "fax_number": "865-482-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "SAADI",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "2582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q004089",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "siddiqi.saadi@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "80 Vermont Ave",
            "city": "Oak Ridge",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378306474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.