Siraj U Siddiqi, MD | |
1019 Commerce Pkwy, La Grange, KY 40031-8779 | |
(502) 225-9098 | |
(502) 225-9851 |
Full Name | Siraj U Siddiqi |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 1019 Commerce Pkwy, La Grange, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912056318 | NPI | - | NPPES |
000000052106 | Other | KY | ANTHEM |
64280621 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 28062 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Hospice | Jeffersonville, IN | Hospice |
Kindred Hospice | Jeffersonville, IN | Hospice |
Clark Memorial Hospital | Jeffersonville, IN | Hospital |
Baptist Health Lagrange | La grange, KY | Hospital |
Indian Creek Healthcare Center | Corydon, IN | Nursing home |
Wedgewood Healthcare Center | Clarksville, IN | Nursing home |
Regency Center | Louisville, KY | Nursing home |
Klondike Center | Louisville, KY | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Health Medical Group Inc | 5597867184 | 1934 |
Entity Name | Baptist Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
Entity Name | Siraj Siddiqi Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578686762 PECOS PAC ID: 4183908957 Enrollment ID: O20170915002568 |
Mailing Address | Practice Location Address |
---|---|
Siraj U Siddiqi, MD 2700 Stanley Gault Pkwy Ste 129, Louisville, KY 40223-5176 Ph: (502) 253-4900 | Siraj U Siddiqi, MD 1019 Commerce Pkwy, La Grange, KY 40031-8779 Ph: (502) 225-9098 |
Nikhil Y Bhatt, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1006 New Moody Lane, La Grange, KY 40031 Phone: 502-222-0028 | |
Sarah Thayer, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1023 New Moody Ln, Suite 201, La Grange, KY 40031 Phone: 502-225-5520 Fax: 502-225-5522 | |
Dr. Robin Grant Kindig, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1023 New Moody Ln, Suite 201, La Grange, KY 40031 Phone: 502-225-5520 Fax: 502-225-5522 | |
Shiela Isaac Rhoads, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1031 New Moody Ln, Suite 200, La Grange, KY 40031 Phone: 502-222-6008 Fax: 502-225-9878 | |
Michael Raymond Norville, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 New Moody Ln, La Grange, KY 40031 Phone: 502-222-8586 | |
Harrison Daniel, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1031 New Moody Ln Ste 200, La Grange, KY 40031 Phone: 502-222-6008 Fax: 502-225-9878 | |
Michelle Theresa Engelhardt, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1025 New Moody Ln, La Grange, KY 40031 Phone: 502-222-8535 Fax: 502-222-3932 |