| Siraj U Siddiqi, MD | |
|
309 11th St, Carrollton, KY 41008-1435 | |
| (502) 732-3280 | |
| (502) 575-6234 |
| Full Name | Siraj U Siddiqi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 309 11th St, Carrollton, 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 |
|---|---|---|
| Kindred Hospice | Jeffersonville, IN | Hospice |
| Hosparus Southern Indiana | New albany, IN | Hospice |
| Amedisys Hospice | Jeffersonville, IN | Hospice |
| King's Daughters' Health | Madison, IN | Hospital |
| Baptist Health Lagrange | La grange, KY | Hospital |
| Clark Memorial Hospital | Jeffersonville, IN | Hospital |
| Carroll County Memorial Hospital | Carrollton, KY | Hospital |
| Indian Creek Healthcare Center | Corydon, IN | Nursing home |
| Wedgewood Healthcare Center | Clarksville, IN | Nursing home |
| Klondike Center | Louisville, KY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Health Medical Group Inc | 5597867184 | 2132 |
| Ccmh Corporation | 2365540465 | 10 |
| Carroll County Medical Advisors Lp | 5092787606 | 5 |
| 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 | Ccmh Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225159601 PECOS PAC ID: 2365540465 Enrollment ID: O20080108000723 |
| 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 309 11th St, Carrollton, KY 41008-1435 Ph: (502) 732-3280 |
Samer H Hussein, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-9922 Fax: 502-732-9050 | |
Dr. Dennis Christian Drinkwater Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-3272 Fax: 502-732-3284 | |
Dr. Christan Stewart, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1911 Hwy 227, Carrollton, KY 41008 Phone: 502-287-6725 Fax: 502-732-8553 | |
Dr. Ranjhan K Gopang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-3280 Fax: 502-575-6234 |