Sibaji Shome MD PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

24694 Issued in TN

Legal business name

SIBAJI SHOME MD PLLC

Practice address

7155 Lee Hwy
Suite 400
Chattanooga, TN 37421-0800

Phone

(423) 499-2637

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Sibaji Shome, MD

Title

Owner

Phone

(336) 310-4712

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Murel Graham, ACNP-BC

  • Acute Care Nurse Practitioner
  • Chattanooga, TN
  • NPI 1336485150
  Medicare reassignment NPD
• Thomas Cupo, PA-C

  • Physician Assistant
  • Chattanooga, TN
  • NPI 1306205521
  Medicare reassignment
• Keith L Kidd, FNP-BC

  • Family Nurse Practitioner
  • Charleston, TN
  • NPI 1811168941
  NPD (past)

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1962722496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373770240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 LEE HWY",
            "address_2": "SUITE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374210800",
            "telephone_number": "423-499-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIBAJI SHOME MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "SHOME",
        "authorized_official_first_name": "SIBAJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-310-4712",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "24694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Alexandria Shultz, FNP-C
• Alexandria Deimling Shumaker, DPT
• Mary Kathleen Shuster, M.D.
• David Shved, D.O.
• John Robert Shymansky
• Lenita Siddiqi, M.A.
• Mahrukh Siddiqui, M.S.
• Tracy L Sides, LMSW
• Sight Light Home Care LLC
• Signal Centers Inc

• Pulmonary Disease Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pulmonary Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.