Active NPI
Saifullah Mohammed Siddiqui, M.D.
- Interventional Cardiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036135970
- Practice address
- 1740 W Taylor St
Chicago, IL 60612-7232 - Phone
- (866) 600-2273
- NPI assigned
- Apr 25, 2011
- Last updated
- May 26, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Franciscan Health Olympia & Chicago Heights
- Presence Mercy Medical Center
- Uchicago Medicine Adventhealth Hinsdale
- Alexian Brothers Medical Center 1
- Uchicago Medicine Adventhealth la Grange
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 28 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301108046 | MI | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Illinois Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Specialty Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Specialty Physicians of Illinois, LLC | Current | Accepting new patients | |
| St. Vincent Hospital | Past | Accepting new patients | |
| Access Telecare California, P.C. | Internal Medicine | Past | Accepting new patients |
| Ap US 14, PA | Internal Medicine | Past | 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
- ssiddiqui658105@direct.med.umich.edu
- 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.
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
Internal Medicine
-
- Urgent Care Clinic/Center
- Frankfort, IL
- NPI 1962024612
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1902415904
-
dba CHRISTUS St. Vincent Adult and Family Care
- Family Medicine Physician
- Santa Fe, NM
- NPI 1245438647
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
dba Adventhealth la Grange
- General Acute Care Hospital
- La Grange, IL
- NPI 1407889652
-
dba Adventhealth Hinsdale
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
dba Adventhealth la Grange
- Rehabilitation Hospital Unit
- La Grange, IL
- NPI 1588068274
-
- General Acute Care Hospital
- Elk Grove Village, IL
- NPI 1265577191
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1598503922
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.