Israr A Siddiqi


Address: 525 W Bristol St, Elkhart, IN 46514-2964

Israr A Siddiqi (NPI# 1346289501, PAC ID# 6406834522) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1346289501
PAC ID by PECOS 6406834522
Professional Enrollment ID I20040713001276
Full Name Israr A Siddiqi
Address 525 W Bristol St
Elkhart
IN 46514-2964
Gender M
Credential MD
Graduation Year 1991
Primary Specialty INTERNAL MEDICINE
Secondary Specialties SLEEP MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150018 ELKHART GENERAL HOSPITAL
151300 COMMUNITY HOSPITAL OF BREMEN INC
150012 SAINT JOSEPH REGIONAL MEDICAL CENTER
150076 SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH
150058 MEMORIAL HOSPITAL OF SOUTH BEND

Other Locations

Address Phone Organization
525 W Bristol St, Elkhart, IN 46514-2964

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 100%

Organization Information

Office Location

Street Address 525 W BRISTOL ST
City ELKHART
State IN
Zip 46514-2964

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Joann E Marinkovich-davidson Nurse Practitioner Ascendant Orthopedic Alliance LLC 2310 California Rd, Suite A, Elkhart, IN 46514-1228
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Julia K Pagano Podiatry Orthopedic and Sports Medicine Center of Northern Indiana, Inc. 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Carolyn M Barbus Physician Assistant Ascendant Orthopedic Alliance LLC 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Craig Erekson Orthopedic Surgery Orthopedic and Sports Medicine Center of Northern Indiana, Inc. 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Jon B Smucker Sports Medicine Orthopedic and Sports Medicine Center of Northern Indiana, Inc. 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Joseph M. Caldwell Ii Orthopedic Surgery Orthopedic and Sports Medicine Center of Northern Indiana, Inc. 2310 California Rd, Suite A, Elkhart, IN 46514-1228
Scott C Mclaughlin Physician Assistant Ascendant Orthopedic Alliance LLC 2310 California Rd, Suite A, Elkhart, IN 46514-1228
John M Kelbel Orthopedic Surgery Ascendant Orthopedic Alliance LLC 2310 California Rd, Suite A, Elkhart, IN 46514-1228
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Competitor

Search similar physicians

City ELKHART
Zip Code 46514
Specialty INTERNAL MEDICINE
City + Specialty ELKHART + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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