Individual provider Active NPI

Smitha Sadiq, MD

  • Hospitalist Physician
  • Ogden, UT
National Provider Identifier
1962490201
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
5665808-1205 Issued in UT
Practice address
425 E 5350 S
Suite 335
Ogden, UT 84405-6946
Phone
(801) 475-8600
Fax
(801) 475-8686
NPI assigned
Oct 11, 2005
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5665808-1205 UT
Hospitalist Physician 208M00000X 5665808-1205 UT Primary

Addresses

Primary practice location

425 E 5350 S
Suite 335
Ogden, UT 84405-6946

Mailing address

PO Box 307
Bountiful, UT 84011-0307
Phone (801) 294-6907

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smitha.sadiq@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20041109000648 UT Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4385607506 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036124197ILMDEmergency Medicine Physician
5665808-1205UTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Valley Physician Practice LLC CurrentSince Oct 28, 2018 Accepting new patients
Ashley Valley Physician Practice LLC CurrentSince Oct 28, 2018 Accepting new patients
Grab Healthcare, LLC CurrentSince Jan 8, 2026 Accepting new patients
Ashley Valley Physician Practice, LLC Internal Medicine Current Accepting new patients
Ogden Internal Medicine & Urology LLC Internal Medicine Past Accepting new patients
Navin K Varma MD PC Past Accepting new patients
Santibanez Aguirre SLC PC Hospitalist Past Accepting new patients
Hti Physician Services of Utah, Inc Past Accepting new patients

Locations

406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398

150 W 100 N
Vernal, UT 84078
Phone (435) 789-3342

175 N 100 W
Ste 104
Vernal, UT 84078
Phone (435) 781-3053

Interoperability endpoints

  • Direct secure messaging: smitha.sadiq.1@13794.direct.athenahealth.com
  • Direct secure messaging: smitha.sadiq@direct.imail.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1962490201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110307",
            "telephone_number": "801-294-6907",
            "fax_number": "801-294-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 5350 S",
            "address_2": "SUITE 335",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056946",
            "telephone_number": "801-475-8600",
            "fax_number": "801-475-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "SMITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "5665808-1205",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "5665808-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smitha.sadiq@direct.imail.org",
            "affiliation": "N",
            "address_1": "425 E 5350 S",
            "address_2": "Suite 335",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844056946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.