BILAL K SIDDIQUI (NPI# 1093034407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093034407 |
| Entity Type | Individual |
| Full Name | BILAL K SIDDIQUI |
| Credential | MD |
| Practice Address |
7979 N Shadeland Ave Ste 200 Indianapolis IN 46250-2042 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3176214300 |
| Practice Fax Number | 3176214300 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
01067403A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CIGNA | 6581786 | 01 |
| IN | AETNA | 4341772 | 01 |
| IN | ANTHEM | 000000881901 | 01 |
| IN | 201107100 | 05 | |
| IN | MEDICARE RR | P01347648 | 01 |
| IN | RR MEDICARE | P01751215 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780971523 | Bilal Siddiqui | Podiatrist | 1455 E Golf Rd Ste 110, Des Plaines, IL 60016-1253 | 2011-06-30 |
| 1699155408 | Bilal A Siddiqui | Internal Medicine | 330 Brookline Ave, Boston, MA 02215-5400 | 2015-06-05 |
| Street Address |
7979 N SHADELAND AVE STE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153913 | Michael W Method | Obstetrics & Gynecology | 7979 N Shadeland Ave, Ste 310, Indianapolis, IN 46250-2042 | 2005-06-13 |
| 1407457047 | Morgan Corbin | Pharmacist | 7979 N Shadeland Ave, Indianapolis, IN 46250-2042 | 2020-11-02 |
| 1659819761 | Visionary Enterprises Inc | Prosthetic/Orthotic Supplier | 7979 N Shadeland Ave, Suite 110, Indianapolis, IN 46250-2042 | 2017-02-09 |
| 1134671340 | Jenna R Pulfer | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2016-11-04 |
| 1477928349 | Sarah Elizabeth Rayner | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2015-12-03 |
| 1699182352 | Courtney L Buratto | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2014-07-15 |
| 1083029474 | Lindsey M Addington | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2014-06-25 |
| 1902211204 | Ashley E Regal | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2014-06-25 |
| 1164861944 | Sandra S Staehler | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2013-06-14 |
| 1801231931 | Samantha N. Davis | Physician Assistant | 7979 N Shadeland Ave, Suite 310, Indianapolis, IN 46250-2042 | 2013-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
| 1760798326 | Redmond Prindiville Hogan IIi | Internal Medicine | 2808 W 44th St, Indianapolis, IN 46228-3147 | 2010-08-20 |
| 1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
| 1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
| 1558547588 | Sarah Ali | Internal Medicine | 8111 S Emerson Ave Ste 102, Indianapolis, IN 46237-8601 | 2008-01-22 |
| 1821274101 | Oncology Hematology Care Center Inc | Internal Medicine | 1440 E County Line Rd, Indianapolis, IN 46227-0963 | 2008-01-16 |
| 1659582120 | American Health Network of Indiana, LLC | Internal Medicine | 1828 N Illinois St, Indianapolis, IN 46202-1318 | 2007-05-25 |
| 1669687331 | Indiana Oncology Hematology Consultants | Internal Medicine | 6925 Shore Ter, Indianapolis, IN 46254-4675 | 2007-05-14 |
| 1306065446 | Taylor M Ortiz | Internal Medicine | 8111 S. Emerson Ave Suite 101, Indianapolis, IN 46237-8325 | 2007-04-25 |
| 1164567871 | Christopher Alan Slapak | Internal Medicine | The Wishard Hospital Hematology Clinic, 1050 Wishard Blvd, Indianapolis, IN 46202 | 2007-02-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
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| 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.