| Siddharth Dubey, MD | |
| 400 N 9th St Fl 2, Springfield, IL 62702-5310 | |
| (217) 545-8000 | |
| (217) 545-2303 | 
| Full Name | Siddharth Dubey | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Cardiology | 
| Location | 400 N 9th St Fl 2, Springfield, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699153791 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | 036-146371 (Illinois) | Primary | 
| Entity Name | Coney Island Medical Practice Plan, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660 | 
| Entity Name | Physician Affiliate Group Of New York Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 | 
| Mailing Address | Practice 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 | 
| Stephanie E. Wojtowicz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424 | |
| Claudine Gillison,  Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541 | |
| Gopinathan Gangadharan Nambiar,  Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-391-0392 | |
| Dr. Susan M. Soler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-787-9424 | |
| Dr. Kimberly Nichole Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 415 N 9th St, Suite 4w16, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-757-6654 | |
| John Padanilam,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 N 9th St # 4a, Springfield, IL 62702 Phone: 217-545-8000 | |
| Misty M. Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2532 Farragut Dr, Springfield, IL 62704 Phone: 217-528-7541 |