Adeel Mohammad Siddiqui, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

01083420A Issued in IN

Practice address

350 W Columbia St Ste 310
Evansville, IN 47710-1782

Phone

(812) 450-8600

Fax

(812) 450-8151

NPI assigned

Apr 12, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, KY, IL3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Interventional Cardiology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ferrell Hospital Community FoundationGroup PAC ID 1355389453, 58 clinicians

Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, shared by 3 NPIs, 228 clinicians

Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
• Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
• Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324
• Gibson General Hospital Hospital, Princeton, IN, CCN 151319
• Fairfield Memorial Hospital 1 Hospital, Fairfield, IL, CCN 141311

Merit-based Incentive Payment System (MIPS)

Final score

82.62 of 100Reported as group

Quality

72.6

Promoting interoperability

100

Improvement activities

40

Cost

69.46

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

87.17 of 100Reported as group

Quality

82.57

Promoting interoperability

100

Improvement activities

40

Cost

71.91

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asiddiqui220973@direct.deaconess.com

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.

• Deaconess Hospital, Inc

  • Hospitalist Physician
  • Evansville, IN
  • NPI 1427097443

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Ferrell Hospital Community Foundation

  • Critical Access Hospital
  • Eldorado, IL
  • NPI 1194713404
  Medicare reassignment Care Compare group NPD
• Deaconess Specialty Physicians, Inc

  • Cardiovascular Disease Physician
  • Evansville, IN
  • NPI 1306344817
  Medicare reassignment NPD
• Deaconess Specialty Physicians, Inc

  • Cardiovascular Disease Physician
  • Henderson, KY
  • NPI 1124522750
  Medicare reassignment NPD
• Deaconess Specialty Physicians, Inc

  • Cardiovascular Disease Physician
  • Fairfield, IL
  • NPI 1003317785
  Medicare reassignment
• Deaconess Hospital Inc

  • Mental Health Counselor
  • Evansville, IN
  • NPI 1508723552
  NPD
• Deaconess Specialty Physicians, Inc

  • Cardiovascular Disease Physician
  • Owensboro, KY
  • NPI 1114421740
  NPD
• Deaconess Specialty Physicians, Inc

  • Interventional Cardiology Physician
  • Carmi, IL
  • NPI 1174295224

  Cardiovascular Disease

  NPD
• Ferrell Hospital Community Foundation

  • Multi-Specialty Clinic/Center
  • Harrisburg, IL
  • NPI 1124905351

  Cardiovascular Disease

  NPD
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • Eldorado, IL
  • NPI 1457586620
  NPD
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • MC Leansboro, IL
  • NPI 1689217820
  NPD (past)

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

• Deaconess Hospital Inc

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427
  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642
  Care Compare affiliation
• Gibson General Hospital Inc.

  • Critical Access Hospital
  • Princeton, IN
  • NPI 1558346007
  Care Compare affiliation
• Fairfield Memorial Hospital Association

  • Critical Access Hospital
  • Fairfield, IL
  • NPI 1255422416
  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • Carmi, IL
  • NPI 1134650997

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • Harrisburg, IL
  • NPI 1184202392

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Critical Access Hospital
  • Eldorado, IL
  • NPI 1194713404
  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • Eldorado, IL
  • NPI 1457586620

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • MC Leansboro, IL
  • NPI 1689217820

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Rural Health Clinic/Center
  • Eldorado, IL
  • NPI 1700011046

  Hospital

  Care Compare affiliation
• Methodist Health, Inc.

  • General Acute Care Hospital
  • Henderson, KY
  • NPI 1083759633
  Care Compare affiliation

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1720345929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061230",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W COLUMBIA ST STE 310",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101782",
            "telephone_number": "812-450-8600",
            "fax_number": "812-450-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "ADEEL",
        "middle_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2015-01561",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2015-01561",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01083420A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720345929",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "19DQK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha A Shults, NP
• Rachel Leigh Shultz
• Paul F Siami, MD
• Sicc Services LLC
• Amy Siddens Land, MSW, LCSW
• Mayme Siders, LCSW
• Ryan A Sidney
• Lori E Sieboldt, MD
• Brandy Sievers, BSN, RN
• Payton Sievers

• Interventional Cardiology Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Interventional Cardiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.

Verify at the official NPI Registry.