Siraj U Siddiqi, MD - Medicare Internal Medicine in Carrollton, KY

Siraj U Siddiqi, MD is a medicare enrolled "Internal Medicine" physician in Carrollton, Kentucky. He went to Jc Edwards School Of Medicine, Marshall University and graduated in 1990 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Proactive Therapy, Inc, Ccmh Corporation and his current practice location is 309 11th St, Carrollton, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 732-3280.

Siraj U Siddiqi is licensed to practice in Kentucky (license number 28062) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912056318.

Contact Information

Siraj U Siddiqi, MD
309 11th St,
Carrollton, KY 41008-1435
(502) 732-3280
(502) 575-6234

Map and Direction




Physician's Profile

Full NameSiraj U Siddiqi
GenderMale
SpecialityInternal Medicine
Experience36 Years
Location309 11th St, Carrollton, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Siraj U Siddiqi attended and graduated from Jc Edwards School Of Medicine, Marshall University in 1990
  NPI Data:
  • NPI Number: 1912056318
  • Provider Enumeration Date: 01/09/2007
  • Last Update Date: 06/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6901895390
  • Enrollment ID: I20170223001570

Medical Identifiers

Medical identifiers for Siraj U Siddiqi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912056318NPI-NPPES
000000052106OtherKYANTHEM
64280621MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 28062 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred HospiceJeffersonville, INHospice
Hosparus Southern IndianaNew albany, INHospice
King's Daughters' HealthMadison, INHospital
Carroll County Memorial HospitalCarrollton, KYHospital
Baptist Health LagrangeLa grange, KYHospital
Norton Hospitals, IncLouisville, KYHospital
Clark Memorial HospitalJeffersonville, INHospital
Indian Creek Healthcare CenterCorydon, INNursing home
Wedgewood Healthcare CenterClarksville, INNursing home
Klondike CenterLouisville, KYNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Proactive Therapy, Inc0143245415115
Ccmh Corporation236554046511

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. Siraj U Siddiqi allows following entities to bill medicare on his behalf.
Entity NameSiraj Siddiqi Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578686762
PECOS PAC ID: 4183908957
Enrollment ID: O20170223001442

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. Siraj U Siddiqi 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
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

Reviews and Comments


Internal Medicine Doctors in Carrollton, KY

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: Medicare Enrolled
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

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.