Individual provider Active NPI

Nasir A Siddiqui, M.D.

  • Diagnostic Radiology Physician
  • Joliet, IL
National Provider Identifier
1285925248
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036127558 Issued in IL
Practice address
2100 Glenwood Ave
Joliet, IL 60435-5487
Phone
(815) 999-3400
Fax
(815) 730-6382
NPI assigned
Apr 26, 2011
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036127558 IL Primary

Addresses

Primary practice location

2100 Glenwood Ave
Joliet, IL 60435-5487

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other identifiers 1

IdentifierTypeStateIssuer
036127558001MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120611000207 PA Practitioner - Diagnostic Radiology 8325202070 Reassigns benefits to 3 organizations
I20150922003222 IL Practitioner - Diagnostic Radiology 8325202070 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeanes Radiology Associates LLCGroup PAC ID 1850290248, 43 clinicians
Rittenhouse Imaging Center, LLCGroup PAC ID 5193624583, 39 clinicians
Lebanon Diagnostic Imaging LLCGroup PAC ID 8224088125, 12 clinicians
Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians

Practice addresses (Care Compare)

1109 Hickory Dr
Western Springs, IL 60558-5016
Phone (754) 206-6226

150 E Pennsylvania Ave
Mdi Dowingtown
Downingtown, PA 19335-2632
Phone (610) 518-6300

1619 Grant Ave
Philadelphia, PA 19115-3167
Phone (215) 676-3300

400 Enterprise Dr
102 Mdi Limerick
Limerik, PA 19468-1215
Phone (215) 649-0250

462 Gateway Ave
Chambersburg, PA 17201-7351
Phone (717) 263-4999

8001 Roosevelt Blvd
Philadelphia, PA 19152-3037
Phone (215) 331-9100

825 Town Ctr Dr
Suite 100
Langhorne, PA 19047-1757
Phone (215) 750-1760

8305 Ridge Ave
Philadelphia, PA 19128-2113
Phone (215) 482-4800

9725 Woods Dr
Unit 713
Skokie, IL 60077-4451
Phone (800) 730-0050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036127558ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LCM Imaging Inc Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Round Rock Imaging LLC CurrentSince Jan 1, 2026 Accepting new patients
Preferred Imaging of Mesquite LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Preferred Imaging of McKinney, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Preferred Open MRI, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jan 1, 2026 Accepting new patients
Preferred Imaging of Garland, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Akumin Imaging Texas LLC CurrentSince Jan 1, 2026 Accepting new patients
Lebanon Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Aug 15, 2025 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jan 1, 2026 Accepting new patients
Preferred Imaging of Austin LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Premier Open MRI, Inc. Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Preferred Imaging of Grapevine/Colleyville, LLC CurrentSince Jan 1, 2026 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jan 1, 2026 Accepting new patients
Jeanes Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 15, 2025 Accepting new patients
Imaging Center of West Palm Beach LLC CurrentSince Jan 1, 2026 Accepting new patients
Afo Imaging Inc Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Dupage Medical Group LTD CurrentSince Oct 26, 2015 Accepting new patients
Dupage Medical Group LTD CurrentSince Oct 26, 2015 Accepting new patients
Preferred Imaging of Corinth, LLC CurrentSince Jan 1, 2026 Accepting new patients
Preferred Imaging of Plano, LLC CurrentSince Jan 1, 2026 Accepting new patients
Preferred Imaging of Frisco, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Rittenhouse Imaging Center, LLC Diagnostic Radiology CurrentSince Aug 15, 2025 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology PastSince Dec 4, 2020 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

430 Pennsylvania Ave
Glen Ellyn, IL 60137
Phone (630) 545-7576

2100 Glenwood Ave
Joliet, IL 60435
Phone (815) 999-3201

462 Gateway Ave
Chambersburg, PA 17201
Phone (717) 263-4999

150 E Pennsylvania Ave
Downingtown, PA 19335
Phone (215) 772-9674

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: nasir.siddiqui@mmhs.medicity.net

Organizations & group practices 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1285925248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355487",
            "telephone_number": "815-999-3400",
            "fax_number": "815-730-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "NASIR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036127558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036127558001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.