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SIDDHARTH DUBEY M.D.
NPI 1699153791
Pediatrics - Pediatric Cardiology in Springfield, IL

Active since May 11, 2015PECOS Enrolled
400 N 9TH ST FL 2, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-2303 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 21, 2020, Nov 2, 2018 (2 updates tracked since 2018).

About Siddharth Dubey M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIDDHARTH DUBEY M.D. (NPI 1699153791) is an individual pediatric cardiology provider in Springfield, Illinois, licensed in Illinois (036-146371) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699153791
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameSIDDHARTH DUBEYCredential: M.D.
Location Address400 N 9TH ST FL 2Springfield, IL 62702-5310
Mailing AddressPo Box 19661Springfield, IL 62794-9661 · (217) 545-8000 · Fax (217) 545-4981
Phone(217) 545-8000
Fax(217) 545-2303
Sole ProprietorNo
Enumeration DateMay 11, 2015
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1699153791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in IL · 036-146371
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.
400 N 9TH ST FL 2, Springfield, IL 62702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siddharth Dubey M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Siddharth Dubey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coney Island Medical Practice Plan, P.C.
830 mi
General Practice
2601 OCEAN PKWY
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
NPI 1386951762 (718) 616-5354
Physician Affiliate Group Of New York PC
831 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENAS MOHAMED SHANSHEN MD
Pediatrics (Pediatric Cardiology)
400 N 9TH ST FL 2
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MS. SHELLY FLAGG FNP-BC
Nurse Practitioner (Family)
400 N 9TH ST FL 2
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. GILBERT SHAWN DUXBURY M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
400 N 9TH ST FL 2
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
URAV SHAH MD
Pediatrics (Pediatric Cardiology)
400 N 9TH ST FL 2
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MOHAMMAD WS BAIDOUN MD
Pediatrics (Pediatric Cardiology)
400 N 9TH ST FL 2
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siddharth Dubey's NPI number?

The NPI number for Siddharth Dubey is 1699153791. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Siddharth Dubey located?

Siddharth Dubey practices at 400 N 9th St Fl 2, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Siddharth Dubey's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Siddharth Dubey enrolled in Medicare?

Yes. Siddharth Dubey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Siddharth Dubey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Siddharth Dubey reassigns Medicare benefits to 2 organizations: Coney Island Medical Practice Plan, P.C. (Brooklyn, NY) and Physician Affiliate Group Of New York PC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Siddharth Dubey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Siddharth Dubey was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.