| Khurram S Siddiqui, MD | |
|
1800 N Capitol Ave, Np E-140, Indianapolis, IN 46202-1218 | |
| (317) 962-2894 | |
| (317) 963-5285 |
| Full Name | Khurram S Siddiqui |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 32 Years |
| Location | 1800 N Capitol Ave, Indianapolis, Indiana |
| 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 |
|---|---|---|---|
| 1639127988 | NPI | - | NPPES |
| 200387890 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 01054953A (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 01054953A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eskenazi Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eskenazi Medical Group Inc | 4284546813 | 126 |
| Entity Name | Eskenazi Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730451063 PECOS PAC ID: 4284546813 Enrollment ID: O20031103000440 |
| Entity Name | The Health And Hospital Corporation Of Marion County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104027879 PECOS PAC ID: 6709795974 Enrollment ID: O20041229000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Khurram S Siddiqui, MD 250 N Shadeland Ave, Ste 130 Provider Enrollment, Indianapolis, IN 46219-4959 Ph: () - | Khurram S Siddiqui, MD 1800 N Capitol Ave, Np E-140, Indianapolis, IN 46202-1218 Ph: (317) 962-2894 |
Irene A Carrothers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
Liam P Howley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
Dr. Satish Kenchaiah, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 317-988-4989 | |
Gretchen Suarez, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 W Michigan St, Indianapolis, IN 46202 Phone: 317-278-0042 Fax: 317-278-0027 | |
Cristina Nancy Perez Chumbiauca, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Dr. Omair Ahmad Syed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Eskenazi Ave # F2-600, Indianapolis, IN 46202 Phone: 317-278-5570 |