Individual provider Active NPI

Saifullah Mohammed Siddiqui, M.D.

  • Interventional Cardiology Physician
  • Chicago, IL
National Provider Identifier
1801187968
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036135970 Issued in IL
Practice address
1740 W Taylor St
Chicago, IL 60612-7232
Phone
(866) 600-2273
NPI assigned
Apr 25, 2011
Last updated
May 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036135970 IL
Cardiovascular Disease Physician 207RC0000X 036135970 IL
Interventional Cardiology Physician 207RI0011X 4301108046 MI
Interventional Cardiology Physician 207RI0011X 036135970 IL Primary

Addresses

Primary practice location

1740 W Taylor St
Chicago, IL 60612-7232

Mailing address

3240 N Lake Shore Dr
Chicago, IL 60657-3954
Phone (224) 659-0585

Other practice location 1

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI, IN, OH, TN, TX6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20141230002078 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9638492473 Reassigns benefits to 3 organizations
I20190726000703 MI Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 9638492473 Reassigns benefits to 1 organization
I20230923000249 IN Practitioner - Hospitalist 9638492473 Reassigns benefits to 1 organization
I20241127001448 OH Practitioner - Hospitalist 9638492473 Reassigns benefits to 1 organization
I20241227000554 TN Practitioner - Hospitalist 9638492473 Reassigns benefits to 1 organization
I20251015000047 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9638492473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Practice addresses (Care Compare)

100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800

1325 N Highland Ave
Aurora, IL 60506-1449
Phone (630) 859-2222

2200 N Section St
Sullivan, IN 47882-7523
Phone (972) 449-0540

3066 Valleybrook CT
Newburgh, IN 47630-2682
Phone (972) 449-0540

3240 N Lake Shore Dr
Apt 6C
Chicago, IL 60657-3961
Phone (972) 449-0540

355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 316-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301108046MIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC Internal Medicine CurrentSince Jun 29, 2025 Accepting new patients
Specialty Physicians of Illinois, LLC Internal Medicine Current Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Jul 30, 2023 Accepting new patients
St. Vincent Hospital PastSince Jul 14, 2024 Accepting new patients
Access Telecare California, P.C. Internal Medicine PastSince Sep 18, 2023 Accepting new patients
Ap US 14, PA Internal Medicine PastSince Oct 15, 2023 Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

2222 W Division St
Ste 250
Chicago, IL 60622
Phone (773) 276-0988

35318 Eagle Way
Chicago, IL 60678

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

1710 W Court St
Kankakee, IL 60901
Phone (815) 936-3200

3800 W 203rd St
Ste 202
Olympia Fields, IL 60461
Phone (708) 679-2010

3800 W 203rd St
Ste 204
Olympia Fields, IL 60461
Phone (708) 679-2670

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

3800 W 203rd St
Ste 201
Olympia Flds, IL 60461
Phone (708) 852-2551

Interoperability endpoints

  • Direct secure messaging: ssiddiqui658105@direct.med.umich.edu
  • Direct secure messaging: vrhssiddi@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1801187968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 N LAKE SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573954",
            "telephone_number": "224-659-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "866-600-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095000",
            "country_code": "US",
            "telephone_number": "734-936-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "SAIFULLAH",
        "middle_name": "MOHAMMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036135970",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036135970",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301108046",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036135970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.