Individual provider Active NPI

Sara I Sadiq, MD

  • Internal Medicine Physician
  • Anniston, AL
National Provider Identifier
1932416229
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.30497 Issued in AL
Practice address
400 E 10TH St
Anniston, AL 36207-4716
Phone
(256) 362-3636
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD.30497 AL Primary

Addresses

Primary practice location

400 E 10TH St
Anniston, AL 36207-4716

Mailing address

PO Box 1380
Anniston, AL 36202-1380
Phone (256) 231-2830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240412002093 NY Practitioner - Internal Medicine 0345422168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Suffolk Medical PCGroup PAC ID 0244396349, 204 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.30497ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Care Authority of the City of Anniston Multi-Specialty Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Multi-Specialty CurrentSince Aug 18, 2021 Accepting new patients
Anniston Pathology Multi-Specialty Current Accepting new patients
Southwest Suffolk Medical, P.C. Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
Southwest Suffolk Medical PC Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
The Health Care Authority of the City of Anniston Multi-Specialty CurrentSince Dec 25, 2017 Accepting new patients
The Health Care Authority of the City of Anniston Multi-Specialty CurrentSince Dec 25, 2017 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1932416229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1380",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362021380",
            "telephone_number": "256-231-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074716",
            "telephone_number": "256-362-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "SARA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.30497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.