Provider Demographics
NPI:1528142445
Name:SIMSIR, SINAN ALI (MD)
Entity type:Individual
Prefix:DR
First Name:SINAN
Middle Name:ALI
Last Name:SIMSIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 LANGWORTHY ST
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-7365
Mailing Address - Country:US
Mailing Address - Phone:563-584-3445
Mailing Address - Fax:563-584-3446
Practice Address - Street 1:1000 LANGWORTHY ST
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-7365
Practice Address - Country:US
Practice Address - Phone:563-584-3445
Practice Address - Fax:563-584-3446
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60358-20208G00000X
IL036-130418208G00000X
MN108789TEMP208G00000X
NC2003-00884208G00000X
NJ25MA08757800208G00000X
IAMD-51799208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036130418Medicaid
WI1528142445Medicaid
WIWI2609014Medicare PIN
NC2019288Medicare ID - Type Unspecified
IL535550012Medicare PIN
WIWI2608014Medicare PIN
NC89134KTMedicare ID - Type Unspecified
G84280Medicare ID - Type Unspecified
IL969780014Medicare PIN