Individual provider Active NPI

Bilal Siddiqui, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Mt Prospect, IL
National Provider Identifier
1780971523
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005530 Issued in IL
Practice address
1660 Feehanville Dr Ste 100
Mt Prospect, IL 60056-6019
Phone
(847) 390-7666
Fax
(847) 390-9345
NPI assigned
Jun 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005530 IL Primary

Addresses

Primary practice location

1660 Feehanville Dr Ste 100
Mt Prospect, IL 60056-6019

Mailing address

1660 Feehanville Dr Ste 450
Mount Prospect, IL 60056-6023
Phone (847) 390-7666

Other practice location 1

5215 N California Ave Ste F605
Chicago, IL 60625-8564
Phone (847) 390-7666

Other practice location 2

939 W North Ave Ste 610
Chicago, IL 60642-7138
Phone (847) 390-7666

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address bas@weil.emadirect.md Direct
Direct Messaging Address bas@weil.emadirect.md Direct
Direct Messaging Address bas@weil.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140602000419 IL Practitioner - Podiatry 8921252164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weil Foot and Ankle Institute LLCGroup PAC ID 4587655105, 56 clinicians

Practice addresses (Care Compare)

5215 N California Ave
Suite F605
Chicago, IL 60625-8564
Phone (847) 390-7666

Hospital & facility affiliations

  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224

Merit-based Incentive Payment System (MIPS)

Final score
74.41 of 100Reported as individual
Quality
45.2
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue20
Removal of skin lesions37
Removal of nail tissue188
Removal or shaving of skin growth23
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Weil Foot and Ankle Institute LLC Foot & Ankle Surgery CurrentSince Nov 1, 2015 Accepting new patients
Weil Foot and Ankle Institute LLC Current Accepting new patients
Weil Foot and Ankle Institute LLC Foot & Ankle Surgery CurrentSince Nov 1, 2015 Accepting new patients
Podiatric Management Systems LLC Foot & Ankle Surgery PastSince Jul 1, 2014 Accepting new patients

Locations

10801 S Western Ave
Ste 200
Chicago, IL 60643
Phone (773) 445-3964

939 W North Ave
Ste 610
Chicago, IL 60642
Phone (847) 713-1944

711 W North Ave
Ste 210
Chicago, IL 60610
Phone (312) 642-3440

5215 N California Ave
Ste F605
Chicago, IL 60625

1455 E Golf Rd
Ste 110
Des Plaines, IL 60016
Phone 84739076666205

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

1660 Feehanville Dr
Ste 100
Mt Prospect, IL 60056
Phone (847) 627-4924

Interoperability endpoints

  • Direct secure messaging: bas@weil.emadirect.md

Organizations & group practices 4

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 2

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1780971523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 100",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600566019",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5215 N California Ave Ste F605",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606258564",
            "country_code": "US",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 W North Ave Ste 610",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606427138",
            "country_code": "US",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "BILAL",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bas@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "939 W North Ave Ste 610",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606427138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bas@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5215 N California Ave Ste F605",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606258564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bas@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1660 Feehanville Dr Ste 100",
            "city": "MT Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600566019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mt Prospect, IL

Sources for this page

Verify at the official NPI Registry.