Active NPI
Omar Mohammed Siddiqui, M.D.
- Interventional Cardiology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036149859
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1716 - Phone
- (216) 844-7603
- NPI assigned
- Jun 23, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 036149859 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 125069011 | IL | |
| Internal Medicine Physician | 207R00000X | 036149859 | IL | |
| Internal Medicine Physician | 207R00000X | 57248471 | OH | |
| Cardiovascular Disease Physician | 207RC0000X | 036149859 | IL |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
460 Prince Valiant LN
Bourbonnais, IL 60914-9333
Phone (224) 619-2205
Other practice location 1
751 N Rutledge St
Springfield, IL 62702-4968
Phone (217) 545-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NH, OH, IN, TN, TX, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2200 N Section St
Sullivan, IN 47882-7523
Phone (972) 449-0540
2363 63Rd St
Woodridge, IL 60517-1369
Phone (630) 716-7510
3066 Valleybrook CT
Newburgh, IN 47630-2682
Phone (972) 449-0540
Hospital & facility affiliations
- Franciscan Health Olympia & Chicago Heights
- Uchicago Medicine Adventhealth Hinsdale
- Uchicago Medicine Adventhealth Bolingbrook
- Uchicago Medicine Adventhealth la Grange
- Sullivan County Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 20 |
| Leg revascularization (restoring blood flow) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125069011 | IL | MD | Internal Medicine Physician |
| 57248471 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients | |
| Specialty Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Siu Physicians & Surgeons, Inc | Internal Medicine | Current | Accepting new patients |
| Loyola University Medical Center | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients |
Locations
35318 Eagle Way
Chicago, IL 60678
3800 W 203rd St
Ste 204
Olympia Fields, IL 60461
Phone (708) 679-2670
3800 W 203rd St
Ste 202
Olympia Fields, IL 60461
Phone (708) 679-2010
3800 W 203rd St
Ste 201
Olympia Flds, IL 60461
3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
701 N 1st St
Springfield, IL 62702
Phone (217) 545-0182
201 E Madison St
Ste 328
Springfield, IL 62702
201 E Madison St
Springfield, IL 62702
Phone (217) 545-1881
Interoperability endpoints
- osiddiqui141736@direct.luhs.org
- vrhosiddi@yourcarecommunity.org
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- La Grange, IL
- NPI 1932650496
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
Internal Medicine
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
- Internal Medicine Physician
- Greenwood, IN
- NPI 1124075676
-
- Urgent Care Clinic/Center
- Frankfort, IL
- NPI 1962024612
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolingbrook, IL
- NPI 1164530465
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
- General Acute Care Hospital
- La Grange, IL
- NPI 1407889652
-
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
- Rehabilitation Hospital Unit
- La Grange, IL
- NPI 1588068274
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
-
- Critical Access Hospital Clinic/Center
- Sullivan, IN
- NPI 1487450698
-
- Critical Access Hospital
- Sullivan, IN
- NPI 1497759260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1467803122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 PRINCE VALIANT LN",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609149333",
"telephone_number": "224-619-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "216-844-7603"
}
],
"practiceLocations": [
{
"address_1": "751 N Rutledge St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627024968",
"country_code": "US",
"telephone_number": "217-545-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "OMAR",
"middle_name": "MOHAMMED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-23",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036149859",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125069011",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036149859",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57248471",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036149859",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.