NPIMap

Individual provider Active NPI

Sultan Mahmud Siddique, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Columbia, SC
National Provider Identifier
1417995259
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
35596 Issued in SC
Practice address
8 Richland Medical Park Dr Ste 100
Columbia, SC 29203-8006
Phone
(803) 434-3800
Fax
(803) 744-2759
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 81984 AZ
Cardiovascular Disease Physician 207RC0000X 35596 SC
Clinical Cardiac Electrophysiology Physician 207RC0001X MD069264L PA
Cardiovascular Disease Physician 207RC0000X MD069264L PA
Clinical Cardiac Electrophysiology Physician 207RC0001X 35596 SC Primary

Addresses

Primary practice location

8 Richland Medical Park Dr Ste 100
Columbia, SC 29203-8006

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 226-6400

Other identifiers 1

IdentifierTypeStateIssuer
355966MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssiddique289171@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20130904000101 SC Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 8123008323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
New York University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

8 Richland Medical Park Dr
Suite 100
Columbia, SC 29203-8006
Phone (803) 434-3800

Hospital & facility affiliations

  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD069264LPAMDCardiovascular Disease Physician
35596SCMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Tuomey CurrentSince Jan 1, 2021 Accepting new patients
Prisma Health-Midlands CurrentSince Jun 13, 2013 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jul 1, 2020 Accepting new patients
Prisma Health-Midlands Current Accepting new patients
Prisma Health-Midlands CurrentSince Jun 13, 2013 Accepting new patients
Prisma Health Tuomey Cardiovascular Disease CurrentSince Jan 1, 2021 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jul 1, 2020 Accepting new patients
Lehigh Valley Cardio Diagnostics PC Cardiovascular Disease Past Accepting new patients
Prisma Health Medical Group-Midlands Cardiovascular Disease Past Accepting new patients
Premier Heart Specialists Past Accepting new patients

Locations

8 Richland Medical Park Dr
Ste 100
Columbia, SC 29203

400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203

1120 Roberts Branch Pkwy
Ste 300
Columbia, SC 29203
Phone (803) 567-7508

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

Interoperability endpoints

  • Direct secure messaging: ssiddique289171@direct.ghs.myhfn.org

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 10

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1417995259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RICHLAND MEDICAL PARK DR STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038006",
            "telephone_number": "803-434-3800",
            "fax_number": "803-744-2759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013118",
            "country_code": "US",
            "telephone_number": "928-226-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "SULTAN",
        "middle_name": "MAHMUD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "81984",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "35596",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD069264L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD069264L",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "SC",
            "license": "35596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355966",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssiddique289171@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ssiddique289171@direct.ghs.myhfn.org",
            "address_1": "8 Richland Medical Park Dr Ste 100",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292038006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.