Individual provider Active NPI

Rayyan M Siddiqi, MD

  • Hospitalist Physician
  • Elmhurst, IL
National Provider Identifier
1144563594
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036140486 Issued in IL
Practice address
155 E Brush Hill Rd
Elmhurst, IL 60126
Phone
(331) 221-8952
Fax
(331) 221-3782
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036140486 IL
Hospitalist Physician 208M00000X 036140486 IL Primary

Addresses

Primary practice location

155 E Brush Hill Rd
Elmhurst, IL 60126

Mailing address

172 Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160601002750 IL Practitioner - HospitalistPractitioner - Internal Medicine 7517257611 Reassigns benefits to 3 organizations
I20250108001089 IN Practitioner - HospitalistPractitioner - Internal Medicine 7517257611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physician Partners PCGroup PAC ID 1557613130, 31 clinicians
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 942-0551

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0096

177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 646-6020

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036140486ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elmhurst Memorial Healthcare Internal Medicine CurrentSince Jul 20, 2016 Accepting new patients
Hospitalist Physicians of Indiana, PC Internal Medicine CurrentSince Dec 12, 2024 Accepting new patients
24 On Physician Partners, PC Hospitalist CurrentSince Jul 1, 2025 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Dec 7, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 7, 2023 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Jul 20, 2016 Accepting new patients
Community Home Physicians, LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Wyse Eyecare SC Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

9532 Eagle Way
Chicago, IL 60678

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • Direct secure messaging: rsiddiqi223211@direct.edward.org

Organizations & group practices 8

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.

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1144563594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 SCHILLER ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "331-221-6377",
            "fax_number": "331-221-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E BRUSH HILL RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "331-221-8952",
            "fax_number": "331-221-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQI",
        "first_name": "RAYYAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036140486",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036140486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.