NPIMap

Individual provider Active NPI

Suhail A Siddiqui, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1316904279
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036092442 Issued in IL
Practice address
6300 N Lincoln Ave
Chicago, IL 60659-1204
Phone
(773) 681-0260
Fax
(773) 346-1239
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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 036092442 IL Primary
Infectious Disease Physician 207RI0200X 036092442 IL

Addresses

Primary practice location

6300 N Lincoln Ave
Chicago, IL 60659-1204

Mailing address

6300 N Lincoln Ave
Chicago, IL 60659-1204
Phone (773) 681-0260

Other identifiers 1

IdentifierTypeStateIssuer
036092442MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000290 IL Practitioner - Family PracticePractitioner - Infectious Disease 4183614936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Infectious Disease
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6300 N Lincoln Ave
Chicago, IL 60659-1204
Phone (773) 681-0260

Hospital & facility affiliations

  • O & P Home Health Care, Inc Home health agency, Skokie, IL, CCN 147812
  • Americhoice Health Care, Inc Home health agency, Northbrook, IL, CCN 148214
  • Suncrest Hospice Illinois LLC Hospice, Northbrook, IL, CCN 141696
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Lincolnwood Place Nursing home, Lincolnwood, IL, CCN 145786

Merit-based Incentive Payment System (MIPS)

Final score
98.61 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
63.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ilahi Medicine of Illinois, LLC Internal Medicine CurrentSince Oct 23, 2008 Accepting new patients
Ilahi Family Medicine Internal Medicine Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
City of Hope Medical Group of Illinois PLLC Past Accepting new patients

Locations

6374 N Lincoln Ave
Ste 202
Chicago, IL 60659
Phone (773) 267-8820

6300 N Lincoln Ave
Chicago, IL 60659
Phone (773) 267-5111

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1316904279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591204",
            "telephone_number": "773-681-0260",
            "fax_number": "773-681-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591204",
            "telephone_number": "773-681-0260",
            "fax_number": "773-346-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SUHAIL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036092442",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036092442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092442",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.