Siddharth Sagreiya, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD049008L Issued in PA

Practice address

1805 Lewisville Rd
Maple Glen, PA 19002-2849

Phone

(215) 283-2423

NPI assigned

Feb 8, 2008

Last updated

Feb 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1417135773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 LEWISVILLE RD",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "190022849",
            "telephone_number": "215-283-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 LEWISVILLE RD",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "190022849",
            "telephone_number": "215-283-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGREIYA",
        "first_name": "SIDDHARTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD049008L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "753416",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14271628",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• School District of Upper Dublin
• Richard A Schwartz, DC
• Kathryn Guerin Scriber, R.PH.

• Internal Medicine Physician in Maple Glen, PA
• Providers in Maple Glen, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.