Imran E. Siddiqi, MD

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

33339 Issued in SC

Practice address

3710 Mishoe Street
Med Share BLDG.
Loris, SC 29569-2822

Phone

(843) 716-7911

Fax

(843) 716-7918

NPI assigned

Mar 15, 2007

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 MD, DC, PA3 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

Pulmonary Disease

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCIBCA
• Direct secure messaging: isiddiqi231458@direct.umm.edu

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.

• Penn State Health Medical Group, LLC

  • Hematology & Oncology Physician
  • Harrisburg, PA
  • NPI 1861988644
  Medicare reassignment Care Compare group NPD
• Dimensions Healthcare Associates, Inc.

  • Anesthesiology Physician
  • Largo, MD
  • NPI 1346354834

  DC

  Medicare reassignment NPD
• Shock Trauma Associates, P.a.

  • Emergency Care Clinic/Center
  • Baltimore, MD
  • NPI 1679512909

  DC

  Medicare reassignment NPD
• Dimensions Health Associates Dba University of Maryland Capital Region

  • Internal Medicine Physician
  • Oxon Hill, MD
  • NPI 1407486293

  Pulmonary Disease

  NPD
• Dimensions Healthcare Associates Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Laurel, MD
  • NPI 1386706562
  NPD
• Penn State Health Medical Group, LLC

  • Diagnostic Radiology Physician
  • Harrisburg, PA
  • NPI 1457824013
  NPD
• Penn State Health Medical Group, LLC

  • Family Medicine Physician
  • Lancaster, PA
  • NPI 1972032761
  NPD
• Loris Community Hospital District

  • Critical Care Medicine (Internal Medicine) Physician
  • Loris, SC
  • NPI 1215235064
  NPD (past)
• Pulmonary and Critical Care Associates of Baltimore, P.a.

  • Pulmonary Disease Physician
  • Towson, MD
  • NPI 1043305832

  Critical Care Medicine

  NPD (past)
• Pulmonary Associates, Inc.

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1952436115
  NPD (past)

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

• Penn State Health Lancaster Medical Center

  • General Acute Care Hospital
  • Lancaster, PA
  • NPI 1013674266
  Care Compare affiliation

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1932233566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295023239",
            "telephone_number": "843-716-7911",
            "fax_number": "843-716-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 MISHOE STREET",
            "address_2": "MED SHARE BLDG.",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692822",
            "telephone_number": "843-716-7911",
            "fax_number": "843-716-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "IMRAN",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "33339",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "33339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Hal Schwartz, DO
• Seashore Pediatrics
• Andrew J.R. Sejan, M.D.
• Donna C Sellers, FNP
• Madeline-Elaine Lucille Sheets
• Sarah E Vanderbosch Small
• Heather Snyder
• South Carolina CVS Pharmacy LLC
• South Carolina Em-I Medical Services, PC
• Southern Living Emergency Physicians LLC

• Critical Care Medicine (Internal Medicine) Physician in Loris, SC
• Providers in Loris, SC by specialty
• Critical Care Medicine (Internal Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.