Ayesha Siddiqi, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

036087798 Issued in IL

Practice address

30 N Michigan Ave
#1107
Chicago, IL 60602-3402

Phone

(312) 236-3642

Fax

(312) 236-5162

NPI assigned

Apr 4, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and Asthma Associates of Dupage, P.C.Group PAC ID 0840332565, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: siddiqi.ayesha.026.0090427@avh.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allergy and Asthma Associates of Dupage, P.C.

  • Allergy Physician
  • Naperville, IL
  • NPI 1134252869
  Medicare reassignment Care Compare group NPD
• Head & Neck Cosmetic Surgery Associates LLC

  • Otolaryngology Physician
  • Skokie, IL
  • NPI 1558330811

  Allergy & Immunology

  Medicare reassignment NPD
• Presence Healthcare Services

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1922115864
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1003878299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809094",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606809094",
            "telephone_number": "312-236-3642",
            "fax_number": "312-236-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "#1107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-236-3642",
            "fax_number": "312-236-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "AYESHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036087798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087798",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nidhal Siddig, MD
• Mikail Siddiki
• Siddiq Hasan MD LLC
• Alia Nasrin Siddiqi, MD
• Anadil Siddiqi
• Manhal Munir Siddiqi, MD
• Mohamed Siddiqi, M.D.
• Myrah Siddiqi, DO
• Nuha Fatimah Siddiqi
• Shan H Siddiqi, MD

• Allergy & Immunology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Allergy & Immunology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.