NPIMap

Individual provider Active NPI

Muhammad Danial Siddiqui, MD

  • Nephrology Physician
  • Joliet, IL
National Provider Identifier
1831685585
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036161839 Issued in IL
Practice address
812 Campus Dr
Joliet, IL 60435-5128
Phone
(815) 741-6830
Fax
(815) 741-6832
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036161839 IL Primary

Addresses

Primary practice location

812 Campus Dr
Joliet, IL 60435-5128

Mailing address

PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626002889 IL Practitioner - NephrologyPractitioner - Internal Medicine 7911257134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care Center Rockford LLCGroup PAC ID 1355564816, 4 clinicians
Germane Nephrology AssociatesGroup PAC ID 0446223838, 9 clinicians

Practice addresses (Care Compare)

6940 Villagreen VW
Rockford, IL 61107-5605
Phone (779) 774-9272

812 Campus Dr
Joliet, IL 60435-5128
Phone (815) 741-6830

Hospital & facility affiliations

  • FMC - Joliet Dialysis facility, Joliet, IL, CCN 142739
  • Concerto Dialysis Dialysis facility, Lincolnwood, IL, CCN 142655
  • FMC - Orland Park Dialysis facility, Orland Park, IL, CCN 142550
  • DaVita Renal Center West Joliet Dialysis facility, Joliet, IL, CCN 142742
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
  • Uw Health Hospital, Rockford, IL, CCN 140228
  • Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Germane Nephrology Associates Nephrology CurrentSince Jul 1, 2023 Accepting new patients
Kidney Care Center Rockford LLC Nephrology CurrentSince Jul 1, 2023 Accepting new patients
Germane Nephrology Associates CurrentSince Jul 1, 2023 Accepting new patients

Locations

2184 N State St
Belvidere, IL 61008
Phone (779) 774-9272

215 Remington Blvd
Ste G2
Bolingbrook, IL 60440
Phone (630) 226-0162

812 Campus Dr
Joliet, IL 60435
Phone (815) 741-3825

662 Cedar Crossings Dr
Ste B
New Lenox, IL 60451

6940 Villagreen Vw
Rockford, IL 61107
Phone (779) 774-9272

Organizations & group practices 3

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 10

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1831685585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-714-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CAMPUS DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355128",
            "telephone_number": "815-741-6830",
            "fax_number": "815-741-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "MUHAMMAD DANIAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036161839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.