Active NPI
Ibrahim H Sidiqi, MD
- Interventional Cardiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 50640
- Practice address
- 3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032-2105 - Phone
- (602) 867-8644
- Fax
- (602) 795-5698
- NPI assigned
- Jul 24, 2007
- 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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 50640 | AZ | Primary |
| Internal Medicine Physician | 207R00000X | 4301084825 | MI |
Addresses
Primary practice location
3805 E Bell Rd
Suite 3100
Phoenix, AZ 85032-2105
Mailing address
3805 E Bell Rd Ste 3100
Phoenix, AZ 85032-2136
Phone (602) 494-3656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037987 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19646 N 27TH Ave
Suite 408
Phoenix, AZ 85027-4028
Phone (602) 867-8644
7373 N Scottsdale Rd
Suite B120
Scottsdale, AZ 85253-3555
Phone (480) 718-5072
Hospital & facility affiliations
- Honorhealth Deer Valley Medical Center
- Honorhealth Sonoran Crossing Medical Center
- Honor Health John C. Lincoln Medical Center
- Honorhealth Scottsdale Shea Medical Center
- Abrazo Arrowhead Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 22 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301084825 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Consultants LTD | Current | Accepting new patients | |
| Lake Havasu Primary Care PLLC | Internal Medicine | Current | Accepting new patients |
| Cardiovascular Consultants LTD | Current | Accepting new patients | |
| Honorhealth Ambulatory | Cardiovascular Disease | Past | Accepting new patients |
Locations
3624 W Anthem Way
Ste C100
Anthem, AZ 85086
Phone (623) 312-3000
36889 N Tom Darlington Dr
Carefree, AZ 85377
Phone (480) 488-9220
13620 N Saguaro Blvd
Ste 50
Fountain Hls, AZ 85268
Phone (480) 837-6800
5422 W Thunderbird Rd
Ste 8
Glendale, AZ 85306
Phone (602) 583-5800
16222 N 59th Ave
Ste A100
Glendale, AZ 85306
Phone 62333440007036
5620 W Thunderbird Rd
Ste D3
Glendale, AZ 85306
Phone (602) 562-9800
18700 N 64th Dr
Ste 101
Glendale, AZ 85308
Phone (623) 561-6211
1325 N Litchfield Rd
Ste 130
Goodyear, AZ 85395
Phone (602) 249-8577
89 Civic Center Ln
Lake Havasu City, AZ 86403
Phone (928) 453-0777
14155 N 83rd Ave
Ste 136
Peoria, AZ 85381
Phone (623) 847-3884
19646 N 27th Ave
Phoenix, AZ 85027
Phone (602) 663-9371
3805 E Bell Rd
Ste 3100
Phoenix, AZ 85032
Phone (602) 494-3656
6036 N 19th Ave
Ste 312
Phoenix, AZ 85015
Phone (602) 246-5570
9100 N 2nd St
Ste 321
Phoenix, AZ 85020
19646 N 27th Ave
Ste 408
Phoenix, AZ 85027
Phone (480) 718-5072
20565 N 19th Ave
Phoenix, AZ 85027
Phone 61064489002831
3501 N Scottsdale Rd
Ste 348
Scottsdale, AZ 85251
Phone (480) 874-0771
7970 E Thompson Peak Pkwy
Ste 101
Scottsdale, AZ 85255
Phone (480) 419-9033
8575 E Princess Dr
Ste 115
Scottsdale, AZ 85255
Phone (480) 538-1355
10210 N 92nd St
Ste 301
Scottsdale, AZ 85258
Phone (480) 391-0555
10440 E Riggs Rd
Ste 200
Sun Lakes, AZ 85248
Phone (480) 814-0266
Interoperability endpoints
- ibrahimsidiqi@cvc.allscriptsdirect.net
- ibrahim.sidiqi.1@31664.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Medical Specialty Clinic/Center
- Phoenix, AZ
- NPI 1023073525
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Internal Medicine Physician
- Lake Havasu City, AZ
- NPI 1194116186
-
dba Desert Vein & Vascular Institute
- Vascular & Interventional Radiology Physician
- Peoria, AZ
- NPI 1215509989
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Sonoran Crossing Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1265063010
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
dba HonorHealth Deer Valley Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
dba HonorHealth John C. Lincoln Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
dba Abrazo Arrowhead Campus
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
dba Abrazo Peoria Emergency Center
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1649470071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 E BELL RD STE 3100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322136",
"telephone_number": "602-494-3656",
"fax_number": "602-867-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 E BELL RD",
"address_2": "SUITE 3100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322105",
"telephone_number": "602-867-8644",
"fax_number": "602-795-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDIQI",
"first_name": "IBRAHIM",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-24",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "50640",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301084825",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037987",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.