Individual provider Active NPI

Siddiq S Hasan, MD

  • Surgery Physician
  • Munster, IN
National Provider Identifier
1679549356
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01087941A Issued in IN
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

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9930030OtherILBCBS OF ILLINOIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20050105000941 IL Practitioner - General Surgery 8729036850 Reassigns benefits to 3 organizations
I20220919000262 IN Practitioner - General Surgery 8729036850 Reassigns benefits to 1 organization

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
Friedell Clinic, S. C.Group PAC ID 2567366164, 24 clinicians
Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

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 Hospital, Chicago, IL, CCN 140177
  • Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095
  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090
  • Franciscan Health Munster Hospital, Munster, IN, CCN 150165

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036111304ILMDSurgery Physician
01087941AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Park Hospital Foundation Current Accepting new patients
Prime Healthcare Illinois Medical Group LLC CurrentSince Mar 1, 2026 Accepting new patients
Franciscan Physician Network CurrentSince Aug 3, 2022 Accepting new patients
Franciscan Physician Network CurrentSince Aug 3, 2022 Accepting new patients
Saint Anthony Health Affiliates Surgery CurrentSince Aug 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 11

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": "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

Verify at the official NPI Registry.