Active NPI
Imtiaz Sadiq, MD
- Internal Medicine Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101274561
- Practice address
- 701 W 5TH St
Odessa, TX 79763-4206 - Phone
- (432) 703-5375
- NPI assigned
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 0101274561 | VA | Primary |
Addresses
Primary practice location
701 W 5TH St
Odessa, TX 79763-4206
Mailing address
701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 703-5375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1325467980 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000
759 S Main St
Woodstock, VA 22664-1127
Phone (540) 459-1285
Hospital & facility affiliations
- Winchester Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101274561 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates, P.a.,P.C. | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Fredericksburg, LLC | Internal Medicine | Current | Accepting new patients |
| Winchester Medical Center | Past | Accepting new patients | |
| Arnot Medical Services PLLC | Internal Medicine | Past | Accepting new patients |
Locations
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000
13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1407319288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797634206",
"telephone_number": "432-703-5375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797634206",
"telephone_number": "432-703-5375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADIQ",
"first_name": "IMTIAZ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"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": "VA",
"license": "0101274561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1325467980",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.