Active NPI
Nasir A Siddiqui, M.D.
- Diagnostic Radiology Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036127558
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036127558001 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036127558 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LCM Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
| Round Rock Imaging LLC | Current | Accepting new patients | |
| Preferred Imaging of Mesquite LLC | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Imaging of McKinney, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Open MRI, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Preferred Imaging of Garland, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Akumin Imaging Texas LLC | Current | Accepting new patients | |
| Lebanon Diagnostic Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Preferred Imaging of Austin LLC | Diagnostic Radiology | Current | Accepting new patients |
| Premier Open MRI, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Imaging of Grapevine/Colleyville, LLC | Current | Accepting new patients | |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Jeanes Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Center of West Palm Beach LLC | Current | Accepting new patients | |
| Afo Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Preferred Imaging of Corinth, LLC | Current | Accepting new patients | |
| Preferred Imaging of Plano, LLC | Current | Accepting new patients | |
| Preferred Imaging of Frisco, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Rittenhouse Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Lucidsolutions, Inc. | Diagnostic Radiology | Past | 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
- 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.
-
dba Akumin
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1639110240
IL
-
dba Lebanon Diagnostic Imaging
- Diagnostic Radiology Physician
- Chambersburg, PA
- NPI 1346246436
IL
-
dba Akumin
- Diagnostic Radiology Physician
- Bryn Mawr, PA
- NPI 1962458034
IL
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
IL
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
dba Advanced Diagnostic Group
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1740366764
-
- Radiology Clinic/Center
- El Paso, TX
- NPI 1235771205
-
dba Imaging Center of Delray Beach
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Delray Beach, FL
- NPI 1225402464
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.