Individual provider Active NPI

Sadia Iftikhar, MD

  • Internal Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1730257957
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD10628 Issued in RI
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 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

IdentifierTypeStateIssuer
04-05011OtherRIUNITED
2202307001OtherRICIGNA
408532OtherRIBLUE CHIP
27582OtherRINEIGHBORHOOD
007009039MedicaidRI
2620389OtherRIAETNA
2643-9OtherRIBLUE CROSS
404750OtherRITUFTS
AA33831OtherRIHARVARD PILGRIM

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070823000907 RI Practitioner - Internal Medicine 8628160470 Reassigns benefits to 1 organization

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
Northeast Internal Medicine IncGroup PAC ID 5092807818, 2 clinicians

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

LicenseStateTypeSpecialty
MD10628RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Internal Medicine, Inc. Internal Medicine CurrentSince Jul 14, 2007 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.