Siebert Moazzam P C
NPI 1396780292 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Peoria, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Siebert Moazzam P C is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician organization in Peoria, IL (NPI 1396780292).
Provider details
- NPI number
- 1396780292
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Siebert, Owner(309) 353-1833
- License
- 036101798 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2011-04-12
Frequently asked questions
- What is Siebert Moazzam P C's NPI number?
- Siebert Moazzam P C's National Provider Identifier (NPI) is 1396780292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Siebert Moazzam P C?
- Siebert Moazzam P C is classified in the NPPES registry as Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Siebert Moazzam P C located?
- Siebert Moazzam P C's practice location on file with NPPES is 401 Main Street, Peoria, IL 61602-1242.
- What is Siebert Moazzam P C's phone number?
- The practice phone number listed in the NPPES registry for Siebert Moazzam P C is (309) 671-8749.
- Does Siebert Moazzam P C accept Medicare?
- Siebert Moazzam P C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Siebert Moazzam P C?
- The authorized official listed on Siebert Moazzam P C's NPPES record is Paul Siebert, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Siebert Moazzam P C's NPI active?
- Yes — Siebert Moazzam P C's NPI (1396780292) is active in the NPPES registry as of the last update on 2011-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.