Active NPI
Sadia Iftikhar, MD
- Internal Medicine Physician
- Pawtucket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD10628
- Practice address
- 126 Prospect St Ste 205
Pawtucket, RI 02860-4429 - Phone
- (401) 725-8866
- Fax
- (401) 725-8868
- NPI assigned
- Dec 4, 2006
- Last updated
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD10628 | RI | Primary |
Addresses
Primary practice location
126 Prospect St Ste 205
Pawtucket, RI 02860-4429
Mailing address
126 Prospect St Ste 205
Pawtucket, RI 02860-4429
Phone (401) 725-8866
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-05011 | Other | RI | UNITED |
| 2202307001 | Other | RI | CIGNA |
| 408532 | Other | RI | BLUE CHIP |
| 27582 | Other | RI | NEIGHBORHOOD |
| 007009039 | Medicaid | RI | |
| 2620389 | Other | RI | AETNA |
| 2643-9 | Other | RI | BLUE CROSS |
| 404750 | Other | RI | TUFTS |
| AA33831 | Other | RI | HARVARD PILGRIM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | siftikhar@direct.carene.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
126 Prospect St
Suite 205
Pawtucket, RI 02860-4429
Phone (401) 725-8866
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10628 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Internal Medicine, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
126 Prospect St
Ste 103
Pawtucket, RI 02860
Phone (401) 725-8866
126 Prospect St
Ste 205
Pawtucket, RI 02860
Phone (401) 725-8866
Interoperability endpoints
- siftikhar@direct.carene.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Pawtucket, RI
- NPI 1376746156
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Providence, RI
- NPI 1871674796
-
dba Kent County Hospital Rehab Unit
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
dba Amedisys Home Health Care
- Home Health Agency
- Warwick, RI
- NPI 1770537854
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1730257957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 PROSPECT ST STE 205",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604429",
"telephone_number": "401-725-8866",
"fax_number": "401-725-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 PROSPECT ST STE 205",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604429",
"telephone_number": "401-725-8866",
"fax_number": "401-725-8868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IFTIKHAR",
"first_name": "SADIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD10628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "04-05011",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2202307001",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "408532",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD",
"identifier": "27582",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007009039",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2620389",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "2643-9",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "404750",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA33831",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "siftikhar@direct.carene.org",
"affiliation": "N",
"address_1": "126 Prospect St",
"address_2": "Suite 103",
"city": "Pawtucket",
"state": "RI",
"country_code": "US",
"postal_code": "028604476",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.