Siddharth Dubey, MD - Medicare Pediatrics in Springfield, IL

Siddharth Dubey, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Springfield, Illinois. His current practice location is 400 N 9th St Fl 2, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 545-8000.

Siddharth Dubey is licensed to practice in Illinois (license number 036-146371) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699153791.

Contact Information

Siddharth Dubey, MD
400 N 9th St Fl 2,
Springfield, IL 62702-5310
(217) 545-8000
(217) 545-2303

Map and Direction




Physician's Profile

Full NameSiddharth Dubey
GenderMale
SpecialityPediatrics - Pediatric Cardiology
Location400 N 9th St Fl 2, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699153791
  • Provider Enumeration Date: 05/11/2015
  • Last Update Date: 10/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8325391170
  • Enrollment ID: I20240603003351

Medical Identifiers

Medical identifiers for Siddharth Dubey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699153791NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0202XPediatrics - Pediatric Cardiology 036-146371 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Siddharth Dubey allows following entities to bill medicare on his behalf.
Entity NameConey Island Medical Practice Plan, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386951762
PECOS PAC ID: 5496944803
Enrollment ID: O20110114000660

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Siddharth Dubey is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Siddharth Dubey, MD
Po Box 19661,
Springfield, IL 62794-9661

Ph: (217) 545-8000
Siddharth Dubey, MD
400 N 9th St Fl 2,
Springfield, IL 62702-5310

Ph: (217) 545-8000

Reviews and Comments


Pediatrics Doctors in Springfield, IL

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Phone: 217-545-4238    Fax: 217-545-2303

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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