Organization Active NPI

Muhammad Y Siddiq SC

Doing business as Suburban Physicians SC

  • Neurology Physician
  • Aurora, IL
National Provider Identifier
1376612630
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MUHAMMAD Y SIDDIQ SC
Doing business as
Suburban Physicians SC
Practice address
4075 Fox Valley Center Dr, Unit 3
Aurora, IL 60504-4108
Phone
(630) 978-1111
Fax
(630) 978-1180
NPI assigned
Nov 8, 2006
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Dr. Muhammad Y Siddiq, M.D.NPI 1134140551
Title
Owner
Phone
(630) 553-2545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Pediatrics Physician 208000000X
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

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

Mailing address

4075 Fox Valley Center Dr, Unit 3
Aurora, IL 60504-4108
Phone (630) 978-1111

Other practice location 1

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

Other identifiers 1

IdentifierTypeStateIssuer
036098263MedicaidIL

Other names 1

  • Suburban Physicians SC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.practicefusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061215000071 IL Part B Supplier - Clinic/Group Practice 7719986033 Receives reassigned benefits from 2 practitioners
Practice locations: Aurora, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2179625Suburban Physicians S C4075 Fox Valley Center Dr - Unit 3, Aurora, IL 60504Certificate of waiverFeb 26, 2028

National Provider Directory

National Provider Directory

Locations

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

4075 Fox Valley Center Dr
Aurora, IL 60504

129 Commercial Dr
Unit 3
Yorkville, IL 60560
Phone (630) 978-1111

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1376612630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 FOX VALLEY CENTER DR, UNIT 3",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044108",
            "telephone_number": "630-978-1111",
            "fax_number": "630-978-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 FOX VALLEY CENTER DR, UNIT 3",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044108",
            "telephone_number": "630-978-1111",
            "fax_number": "630-978-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1177 N Highland Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605062200",
            "country_code": "US",
            "telephone_number": "630-553-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MUHAMMAD Y SIDDIQ SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "SIDDIQ",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-553-2545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098263",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.practicefusion.com",
            "affiliation": "N",
            "address_1": "1177 N Highland Ave Ste 106",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605062200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Suburban Physicians SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.