NPIMap

Individual provider Active NPI

Sana Ajmal Siddiqui, M.D.

  • Hospitalist Physician
  • Columbus, OH
National Provider Identifier
1417100694
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35097196 Issued in OH
Practice address
3555 Olentangy River Rd
Suite 1080
Columbus, OH 43214-3912
Phone
(614) 268-8164
Fax
(614) 268-8406
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 35097196 OH
Hospitalist Physician 208M00000X 35097196 OH Primary

Addresses

Primary practice location

3555 Olentangy River Rd
Suite 1080
Columbus, OH 43214-3912

Mailing address

3555 Olentangy River Rd
Suite 1080
Columbus, OH 43214-3912
Phone (614) 268-8164

Other identifiers 1

IdentifierTypeStateIssuer
0052491MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ssiddiqui38545@lickingmemorial.medicity.net Licking Memorial Professional Corporation
Direct Messaging Address sana.siddiqui@direct.aultman.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI, TX, OK, NV, PA6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20110314000072 OH Practitioner - Internal Medicine 9436331444 Reassigns benefits to 7 organizations
I20251016002555 WI Practitioner - Internal Medicine 9436331444 Reassigns benefits to 1 organization
I20251017000423 TX Practitioner - Internal Medicine 9436331444 Reassigns benefits to 1 organization
I20251017000573 OK Practitioner - Internal Medicine 9436331444 Reassigns benefits to 1 organization
I20251022003967 NV Practitioner - Internal Medicine 9436331444 Reassigns benefits to 1 organization
I20260127003926 PA Practitioner - Internal MedicinePractitioner - Hospitalist 9436331444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians
Sinclair Physician Services, LLCGroup PAC ID 9830536911, 128 clinicians
Ohio Physician Professional CorporationGroup PAC ID 2668406059, 143 clinicians
Upper Valley Professional CorporationGroup PAC ID 5597658138, 83 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 705-4754

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

1320 W Main St
Newark, OH 43055-1822
Phone (220) 564-4137

16088 San Pedro Ave
San Antonio, TX 78232-2251
Phone (210) 402-4092

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-8076

3130 N Country Rd
25A
Troy, OH 45373-1337
Phone (937) 440-4466

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174
  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Baptist Neighborhood Hospital Thousand Oaks Hospital, San Antonio, TX, CCN 670078

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
83.38

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35097196OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc Internal Medicine Current Accepting new patients
Emerus Pennsylvania Inpatient Providers PLLC CurrentSince Nov 9, 2025 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients
Hisey Physician Services, LLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Jul 3, 2024 Accepting new patients
Licking Memorial Health Professionals Hospitalist Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Sep 1, 2011 Accepting new patients
Leading Edge Emergency Physicians, Inc CurrentSince Aug 4, 2025 Accepting new patients
Ohio Physician Professional Corporation Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Emerus Inpatient Providers SC CurrentSince Aug 1, 2025 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince May 29, 2023 Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince May 29, 2023 Accepting new patients
Central Ohio Primary Care Physicians Inc Hospitalist Current Accepting new patients
Sinclair Physician Services, LLC Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Jul 3, 2024 Accepting new patients
Emerus Oklahoma Hospitalists PLLC CurrentSince Aug 4, 2025 Accepting new patients
Emerus Nevada Inpatient Providers PLLC CurrentSince Aug 4, 2025 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince May 29, 2023 Accepting new patients

Locations

6675 N Durango Dr
Las Vegas, NV 89149
Phone (713) 929-2076

1550 W Craig Rd
Ste 100
North Las Vegas, NV 89032
Phone (702) 777-3615

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
Ste A2710
Canton, OH 44710
Phone (330) 429-5656

3555 Olentangy River Rd
Ste 1080
Columbus, OH 43214
Phone (614) 268-8164

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

9417 N Council Rd
Oklahoma City, OK 73162
Phone (405) 500-3280

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

16088 San Pedro Ave
San Antonio, TX 78232
Phone (210) 402-4092

1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885

8686 New Trails Dr
Ste 100
The Woodlands, TX 77381
Phone (713) 637-1004

N88W14275 Main St
Menomonee Fls, WI 53051
Phone (262) 415-2001

Interoperability endpoints

  • Direct secure messaging: ssiddiqui21707@copcp.medicity.net
  • Direct secure messaging: ssiddiqui550968@direct.integrisok.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1417100694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 OLENTANGY RIVER RD",
            "address_2": "SUITE 1080",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143912",
            "telephone_number": "614-268-8164",
            "fax_number": "614-268-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 OLENTANGY RIVER RD",
            "address_2": "SUITE 1080",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143912",
            "telephone_number": "614-268-8164",
            "fax_number": "614-268-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SANA",
        "middle_name": "AJMAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35097196",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35097196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052491",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssiddiqui38545@lickingmemorial.medicity.net",
            "affiliation": "Y",
            "affiliationName": "Licking Memorial Professional Corporation",
            "address_1": "1320 W Main St",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sana.siddiqui@direct.aultman.org",
            "affiliation": "N",
            "endpointDescription": "employer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Sixth St SW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447101702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.