SIDDHARTH DUBEY


Address: 400 N 9th St Fl 2, Springfield, IL 62702-5310
Phone: 2175458000

SIDDHARTH DUBEY (NPI# 1699153791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699153791
Entity Type Individual
Full Name SIDDHARTH DUBEY
Credential M.D.
Practice Address 400 N 9th St Fl 2
Springfield
IL 62702-5310
Mailing Address Po Box 19661
Springfield
IL 62794-9661
Practice Telephone 2175458000
Practice Fax Number 2175452303
Mailing Telephone 2175458000
Mailing Fax Number 2175454981
Enumeration Date 2015-05-11
Last Update Date 2020-10-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
036-146371 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 400 N 9TH ST FL 2
City SPRINGFIELD
State IL
Zip Code 62702-5310

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023090875 Ramzi Toufic Nicolas Pediatrics 619 E Mason St Ste 5, Springfield, IL 62701-1080 2005-11-17
1710983291 Armin Jared Wagman Pediatrics 4350 S National Ave, # C-100, Springfield, MO 65810-2607 2005-06-21
1447686415 Lamya Mubayed Pediatrics 400 N 9th St, Springfield, IL 62702-5310 2013-09-22
1881836724 Eric Anders Johnson Pediatrics 3377 Riverbend Dr, Springfield, OR 97477-8803 2009-03-24
1841486263 Hani S Ghawi Pediatrics 619 E Mason St, 5th Floor, Springfield, IL 62701-1034 2007-09-19
1912098831 Thomas W Rowland Pediatrics 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 2006-09-27
1881793941 Anna Tsirka Pediatrics 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 2006-09-22
1275556771 Siu Physicians & Surgeons, Inc Pediatrics 701 N 1st St, D235, Springfield, IL 62781-0001 2006-07-25
1003812504 Alan Dare Tong Pediatrics 4350 S National Ave, Suite C 100, Springfield, MO 65810-2607 2005-06-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386187458 A2z Care Med-peds Specialists, PC Pediatrics 550 East Bougton Road, Suite 110, Bolingbrook, IL 60440-2194 2016-11-22
1003369836 Peter Varga Md Sc Pediatrics 317 N Euclid Ave, Oak Park, IL 60302-2109 2016-07-28
1558759738 Axiom Clinic, Sc Pediatrics 4202 Forest Ave, Downers Grove, IL 60515-2049 2014-12-22
1265853170 Leo Henikoff Jr. Pediatrics 1437 W Lexington St, Chicago, IL 60607-4013 2013-12-18
1932425188 Amy Marie O'connor Pediatrics 225 E Chicago Ave # 21, Chicago, IL 60611-2991 2010-04-13
1376709519 Sanmit Kumar Basu Pediatrics 5841 S Maryland Ave # Mc4051, Chicago, IL 60637-1443 2008-08-06
1104012053 Mukesh M. Doshi, M.d., S.c. Pediatrics 1768 Moon Lake Blvd, Suite 206, Hoffman Estates, IL 60169 2007-09-24
1740483627 Priti M. Patel Pediatrics 530 Ne Glenoak Ave, Peoria, IL 61603-3133 2007-06-07
1134241383 Ep Consultation, Ltd Pediatrics 910 W Van Buren St, Ste 226, Chicago, IL 60607-3523 2007-04-06
1487787818 Fairview Heights Medical Group Sc Pediatrics 11th and Broadway, 4th Floor, Quincy, IL 62301 2007-03-14
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City SPRINGFIELD
Zip Code 62702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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