Individual provider Active NPI

Awais H Siddique, MD

  • Vascular & Interventional Radiology Physician
  • Milwaukee, WI
National Provider Identifier
1649387846
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
45810 Issued in WI
Practice address
2500 W Layton Ave Ste 40
Milwaukee, WI 53221-5420
Phone
(262) 577-0250
Fax
(262) 577-0251
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 45810 WI Primary
Diagnostic Radiology Physician 2085R0202X 45810 WI

Addresses

Primary practice location

2500 W Layton Ave Ste 40
Milwaukee, WI 53221-5420

Mailing address

2500 W Layton Ave Ste 40
Milwaukee, WI 53221-5400
Phone (262) 577-0250

Other practice location 1

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-4848

Other practice location 2

1441 N Taylor Dr
Sheboygan, WI 53081-1989
Phone (262) 577-0250

Other identifiers 2

IdentifierTypeStateIssuer
11176041OtherCAQH
34391800MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asiddique37944@ewd.direct.hshs.org Direct St Vincent Hospital-Hospital Sisters-Third Order of St Francis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, SC2 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
I20040301000679 WI Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3375430812 Reassigns benefits to 8 organizations
I20250624001470 SC Practitioner - Diagnostic Radiology 3375430812 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Third Coast Vascular SCGroup PAC ID 8325425911, 6 clinicians
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians

Practice addresses (Care Compare)

1441 N Taylor Dr
Sheboygan, WI 53081-1989
Phone (920) 298-2821

654 Birchwood Dr
Elkhart Lake, WI 53020-1912
Phone (469) 757-1042

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal235
Leg revascularization (restoring blood flow)34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45810WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Aug 20, 2025 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Apr 17, 2024 Accepting new patients
Independent Physicians of Wisconsin, LLC CurrentSince Jun 1, 2021 Accepting new patients
Azh Vascular Center Mke SC Vascular & Interventional Radiology CurrentSince Jan 7, 2018 Accepting new patients
Baycare Clinic LLP CurrentSince Dec 1, 2023 Accepting new patients
Baycare Clinic LLP CurrentSince Dec 1, 2023 Accepting new patients
Third Coast Vascular ASC LLC CurrentSince Jan 9, 2025 Accepting new patients
Third Coast Vascular SC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince May 23, 2025 Accepting new patients
Independent Physicians of Wisconsin, LLC CurrentSince Jun 1, 2021 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Diagnostic Radiology PastSince Jan 7, 2018 Accepting new patients

Locations

1 Cannon Dr
Greenville, SC 29605
Phone (336) 970-5318

2 Innovation Dr
Greenville, SC 29607
Phone (864) 400-3668

1 Marcus Dr
Ste 100
Greenville, SC 29615
Phone (864) 751-2051

2 Innovation Dr
Ste 110
Greenville, SC 29607
Phone (864) 400-3600

2501 W Silver Spring Dr
Glendale, WI 53209
Phone (414) 461-8250

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400

1035 Kepler Dr
Green Bay, WI 54311

2845 Greenbrier Rd
#1
Green Bay, WI 54311
Phone (920) 288-8100

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

2845 Greenbrier Rd
#4
Green Bay, WI 54311
Phone (920) 288-8400

2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200

1160 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-5400

601 Reed Ave
Manitowoc, WI 54220
Phone (920) 682-8841

3003 University Dr
Marinette, WI 54143
Phone (715) 735-4200

3130 Shore Dr
Marinette, WI 54143
Phone (715) 735-7421

4061 Old Peshtigo Rd
Marinette, WI 54143
Phone (715) 732-8000

5233 S 27th St
Milwaukee, WI 53221
Phone (414) 270-4444

2500 W Layton Ave
Ste 40
Milwaukee, WI 53221
Phone (262) 577-0250

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066

1441 N Taylor Dr
Sheboygan, WI 53081
Phone (262) 577-0250

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25552/brand/1/csg/1/fhir/r4
  • Direct secure messaging: asiddique151068@direct.froedtert.com
  • Direct secure messaging: awais.siddique.1@25552.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1649387846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE STE 40",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215400",
            "telephone_number": "262-577-0250",
            "fax_number": "262-577-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE STE 40",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215420",
            "telephone_number": "262-577-0250",
            "fax_number": "262-577-0251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2845 Greenbrier Rd",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543116519",
            "country_code": "US",
            "telephone_number": "920-288-4848",
            "fax_number": "920-288-4956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 N Taylor Dr",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530811989",
            "country_code": "US",
            "telephone_number": "262-577-0250",
            "fax_number": "262-577-0251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "AWAIS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "45810",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "45810",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11176041",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34391800",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asiddique37944@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "St Vincent Hospital-Hospital Sisters-Third Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "835 S Van Buren St",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543013526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.