Individual provider Active NPI

Muhammad Y Siddiq, MD

  • Neurology Physician
  • Aurora, IL
National Provider Identifier
1134140551
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036098263 Issued in IL
Practice address
4075 Fox Valley Center Dr Ste 3
Aurora, IL 60504-4108
Phone
(630) 553-2545
Fax
(630) 385-2229
NPI assigned
Jul 21, 2006
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036098263 IL Primary

Addresses

Primary practice location

4075 Fox Valley Center Dr Ste 3
Aurora, IL 60504-4108

Mailing address

4075 Fox Valley Center Dr Ste 3
Aurora, IL 60504-4108
Phone (630) 553-2545

Other identifiers 1

IdentifierTypeStateIssuer
036098263MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040721000886 IL Practitioner - Neurology 0345220356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Muhammad Y Siddiq SCGroup PAC ID 7719986033, 2 clinicians

Practice addresses (Care Compare)

1177 N Highland Ave
Suite 106
Aurora, IL 60506-2200
Phone (630) 553-2545

4075 Fox Valley Ctr Dr
Suite 3
Aurora, IL 60504-4108
Phone (630) 553-2545

88 W Countryside Pkwy
Suite C
Yorkville, IL 60560-2059

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036098263ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muhammad Y Siddiq SC Neurology CurrentSince Nov 1, 2006 Accepting new patients
Yuhang Shek MD SC CurrentSince Nov 28, 2021 Accepting new patients
Midwest Imaging & Diagnostic Center Inc CurrentSince May 1, 2024 Accepting new patients
Imaging Centers of America Inc CurrentSince Mar 14, 2012 Accepting new patients

Locations

1177 N Highland Ave
Ste 106
Aurora, IL 60506
Phone (630) 553-2545

4075 Fox Valley Center Dr
Aurora, IL 60504

4075 Fox Valley Center Dr
Ste 3
Aurora, IL 60504
Phone (630) 499-7811

1302 N Main St
Sandwich, IL 60548
Phone (815) 486-8484

88 W Countryside Pkwy
Ste C
Yorkville, IL 60560
Phone (630) 553-2545

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1134140551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 FOX VALLEY CENTER DR STE 3",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044108",
            "telephone_number": "630-553-2545",
            "fax_number": "630-385-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 FOX VALLEY CENTER DR STE 3",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044108",
            "telephone_number": "630-553-2545",
            "fax_number": "630-385-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQ",
        "first_name": "MUHAMMAD",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036098263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098263",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.