Active NPI
Siddiq S Hasan, MD
- Surgery Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01087941A
- Practice address
- 701 Superior Ave Ste 2500
Munster, IN 46321-4037 - Phone
- (219) 934-9852
- Fax
- (815) 836-7593
- NPI assigned
- Feb 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01087941A | IN | Primary |
| Surgery Physician | 208600000X | 036111304 | IL |
Addresses
Primary practice location
701 Superior Ave Ste 2500
Munster, IN 46321-4037
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
300 Barney Dr
Suite A
Joliet, IL 60435-5296
Phone (815) 744-0330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9930030 | Other | IL | BCBS OF ILLINOIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- 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
- General Surgery
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 E 75TH St
FL 1
Chicago, IL 60649-3603
2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-4425
701 Superior Ave
Suite 2500
Munster, IN 46321-4037
Phone (317) 528-4800
7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-7764
Hospital & facility affiliations
- Jackson Park Hospital
- Saint Anthony Hospital
- Franciscan Health Dyer
- Franciscan Health Munster
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 12 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036111304 | IL | MD | Surgery Physician |
| 01087941A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| Prime Healthcare Illinois Medical Group LLC | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Saint Anthony Health Affiliates | Surgery | Current | Accepting new patients |
Locations
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
7531 S Stony Island Ave
Rm 251
Chicago, IL 60649
2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300
7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310
4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222
301 Madison St
Ste 100
Joliet, IL 60435
Phone (815) 744-1119
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
9800 Valparaiso Dr
Munster, IN 46321
Phone (219) 836-5800
701 Superior Ave
Ste 2500
Munster, IN 46321
Phone (219) 934-9852
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- siddiqhasan@jph.medalliesdirect.net
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Family Medicine Physician
- Chicago, IL
- NPI 1306854021
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1881086064
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
-
- General Acute Care Hospital
- Cicero, IL
- NPI 1184490062
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1194723999
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1538655949
-
- Children's Hospital
- Chicago, IL
- NPI 1619456423
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1710877386
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1881363224
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912397480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1679549356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SUPERIOR AVE STE 2500",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463214037",
"telephone_number": "219-934-9852",
"fax_number": "815-836-7593"
}
],
"practiceLocations": [
{
"address_1": "300 Barney Dr",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Joliet",
"state": "IL",
"postal_code": "604355296",
"country_code": "US",
"telephone_number": "815-744-0330",
"fax_number": "815-744-0445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASAN",
"first_name": "SIDDIQ",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01087941A",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036111304",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ILLINOIS",
"identifier": "9930030",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.