NPIMap

Individual provider Active NPI

Siddharth B Jani, M.D.

  • Internal Medicine Physician
  • Mount Carmel, IL
National Provider Identifier
1497757595
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036067875 Issued in IL
Practice address
1106 Oak St
Mount Carmel, IL 62863-2444
Phone
(618) 263-6575
Fax
(618) 262-4468
NPI assigned
Jun 2, 2005
Reactivated
Apr 3, 2006
Last updated
Apr 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036067875 IL Primary

Addresses

Primary practice location

1106 Oak St
Mount Carmel, IL 62863-2444

Mailing address

1106 Oak St
Mount Carmel, IL 62863-2444
Phone (618) 263-6575

Other identifiers 1

IdentifierTypeStateIssuer
036067875MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070514000472 IN Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 4880672427 Reassigns benefits to 3 organizations
I20080313000234 IL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4880672427 Reassigns benefits to 2 organizations
I20250709002937 KY Practitioner - Sleep Medicine 4880672427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Owensboro Medical Practice, PLLCGroup PAC ID 0446157671, 20 clinicians
Wabash General Hospital DistrictGroup PAC ID 8022908185, shared by 10 NPIs, 77 clinicians
Gibson General Hospital IncGroup PAC ID 5991788069, shared by 3 NPIs, 20 clinicians

Practice addresses (Care Compare)

1200 Breckenridge St
Owensboro, KY 42303-1089
Phone (270) 683-8672

1418 College Dr
Mount Carmel, IL 62863-2638
Phone (618) 262-8621

1430 College Dr
Mount Carmel, IL 62863-2649
Phone (618) 263-6190

1808 Sherman Dr
Princeton, IN 47670-1043
Phone (812) 385-3401

520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3280

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash General Hospital District CurrentSince Oct 20, 2025 Accepting new patients
Wabash General Hospital District Current Accepting new patients
Gibson General Hospital Inc. CurrentSince Dec 24, 2009 Accepting new patients
Gibson General Hospital, Inc CurrentSince Dec 24, 2009 Accepting new patients
Wabash General Hospital District CurrentSince Jan 19, 1995 Accepting new patients
Owensboro Medical Practice, PLLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Wabash General Hospital District CurrentSince Jan 19, 1995 Accepting new patients
Sleep Management Institute LLC Internal Medicine Past Accepting new patients
Wabash General Hospital District Past Accepting new patients
Good Samaritan Hospital Physician Services Inc. Past Accepting new patients

Locations

1106 Oak St
Mount Carmel, IL 62863
Phone (618) 263-6575

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

1808 Sherman Dr
Ste 2209
Princeton, IN 47670
Phone (812) 385-9420

2030 Sherman Dr
Princeton, IN 47670
Phone (812) 385-1111

1126 Triplett St
Ste 102
Owensboro, KY 42303
Phone (270) 687-9000

1200 Breckenridge St
Owensboro, KY 42303
Phone (270) 683-8672

1200 Breckenridge St
Ste 102
Owensboro, KY 42303
Phone (270) 683-8672

Interoperability endpoints

  • Direct secure messaging: siddharth.janimd.p1@direct.omp.nextgenshare.com
  • Direct secure messaging: sjani80127@direct.deaconess.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1497757595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 OAK ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632444",
            "telephone_number": "618-263-6575",
            "fax_number": "618-262-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 OAK ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632444",
            "telephone_number": "618-263-6575",
            "fax_number": "618-262-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANI",
        "first_name": "SIDDHARTH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2008-04-07",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036067875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067875",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carmel, IL

Sources for this page

Verify at the official NPI Registry.