Smitha Sadiq, MD
Individual provider Active NPI Hospitalist Physician · Ogden, UT
NPI 1962490201 · NPPES record last updated Oct 1, 2021
Key facts
- NPI
- 1962490201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 5665808-1205 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041109000648 | UT | Practitioner - Internal Medicine |
4385607506 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036124197 | IL | MD | Emergency Medicine Physician |
| N2274 | TX | MD | Pediatrics Physician |
| 5665808-1205 | UT | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grab Healthcare, LLC | Current |
Accepting new patients | |
| Ashley Valley Physician Practice, LLC | Internal Medicine | Current | Accepting new patients |
| Ashley Valley Physician Practice LLC | Current |
Accepting new patients | |
| Ashley Valley Physician Practice LLC | Current |
Accepting new patients | |
| Ogden Internal Medicine & Urology LLC | Internal Medicine | Past | Accepting new patients |
| Hti Physician Services of Utah, Inc | Past | Accepting new patients | |
| Navin K Varma MD PC | Past | Accepting new patients | |
| Santibanez Aguirre SLC PC | Hospitalist | Past | Accepting new patients |
Locations
406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398
175 N 100 W
Ste 104
Vernal, UT 84078
Phone (435) 781-3053
150 W 100 N
Vernal, UT 84078
Phone (435) 789-3342
Interoperability endpoints
- smitha.sadiq.1@13794.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5665808-1205 | UT | |
| Hospitalist Physician | 208M00000X | 5665808-1205 | UT | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smitha.sadiq@direct.imail.org |
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.