Active NPI
Sadiq Tariq a Alqutub, MD
- Anatomic Pathology Physician
- Cleveland, OH
National Provider Identifier
1770080269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 57.251948
- Practice address
- 11100 Euclid Avenue
Department of Pathology, 2ND Floor, Room 204
Cleveland, OH 44106 - Phone
- (216) 286-8278
- NPI assigned
- Apr 10, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | DC | ||
| Anatomic Pathology Physician | 207ZP0101X | 57.251948 | OH | Primary |
Addresses
Primary practice location
11100 Euclid Avenue
Department of Pathology, 2ND Floor, Room 204
Cleveland, OH 44106
Mailing address
11100 Euclid Avenue
Department of Pathology, 2ND Floor, Room 204
Cleveland, OH 44106
Phone (216) 286-8278
Other practice location 1
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.251948 | OH | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1770080269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 EUCLID AVENUE",
"address_2": "DEPARTMENT OF PATHOLOGY, 2ND FLOOR, ROOM 204",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44106",
"telephone_number": "216-286-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVENUE",
"address_2": "DEPARTMENT OF PATHOLOGY, 2ND FLOOR, ROOM 204",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44106",
"telephone_number": "216-286-8278"
}
],
"practiceLocations": [
{
"address_1": "2150 Pennsylvania Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200373201",
"country_code": "US",
"telephone_number": "202-741-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALQUTUB",
"first_name": "SADIQ",
"middle_name": "TARIQ A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "OH",
"license": "57.251948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.