Irfan Ahmed Siddiqui, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

01085743A Issued in IN

Practice address

4007 Gateway Blvd Ste 100
Newburgh, IN 47630-8947

Phone

(812) 842-0907

Fax

(812) 490-7051

NPI assigned

Apr 25, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, IN, KY, IL4 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 4

Specialty

Interventional Cardiology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

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
• Gibson General Hospital Hospital, Princeton, IN, CCN 151319
• Wabash General Hospital 1 Hospital, Mount Carmel, IL, CCN 141327
• Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042

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

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, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: isiddiqui226793@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

  Interventional Cardiology

  Medicare reassignment Care Compare group NPD
• Deaconess Specialty Physicians, Inc

  • Cardiovascular Disease Physician
  • Evansville, IN
  • NPI 1306344817

  Interventional Cardiology

  Medicare reassignment NPD
• Deaconess Specialty Physicians, Inc

  • Cardiovascular Disease Physician
  • Henderson, KY
  • NPI 1124522750

  Interventional Cardiology

  Medicare reassignment NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  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
  • Newburgh, IN
  • NPI 1215431846

  Interventional Cardiology

  NPD
• Deaconess Specialty Physicians

  • Clinical Cardiac Electrophysiology Physician
  • Eldorado, IL
  • NPI 1871366567
  NPD
• Deaconess Specialty Physicians, Inc

  • Cardiovascular Disease Physician
  • Owensboro, KY
  • NPI 1114421740

  Interventional Cardiology

  NPD

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
• Good Samaritan Hospital

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Vincennes, IN
  • NPI 1073153474

  Hospital

  Care Compare affiliation
• Good Samaritan Hospital

  • General Acute Care Hospital
  • Vincennes, IN
  • NPI 1225032881
  Care Compare affiliation
• Methodist Health, Inc.

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

  • Critical Access Hospital
  • Mount Carmel, IL
  • NPI 1194728808
  Care Compare affiliation
• Wabash General Hospital District

  • Ambulance
  • Mount Carmel, IL
  • NPI 1194814178

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1871913046",
    "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": "4007 GATEWAY BLVD STE 100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947",
            "telephone_number": "812-842-0907",
            "fax_number": "812-490-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "IRFAN",
        "middle_name": "AHMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01085743A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly S. Shimer, MD
• Daniel Ray Shirey, MD
• Bailey Shoulders, RBT
• Samantha Elaine Shoultz, NP
• Robert Corry Shumate, D.M.D.
• Daniel Sigler
• Savannah Sikes
• Elisa Simmons, RDN, CDN
• Michelle L Simon, PTA
• Jennifer D Simoneaux, M.D.

• Interventional Cardiology Physician in Newburgh, IN
• Providers in Newburgh, 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 30, 2021; 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.