Individual provider Active NPI

Yousha Bin Khalid Siddiqui, DPM

  • Foot & Ankle Surgery Podiatrist
  • Decatur, IL
National Provider Identifier
1942871074
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016006091 Issued in IL
Practice address
2300 N Edward St
Decatur, IL 62526-4163
Phone
(217) 876-4830
Fax
(217) 876-8385
NPI assigned
Jul 9, 2021
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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 016006091 IL Primary

Addresses

Primary practice location

2300 N Edward St
Decatur, IL 62526-4163

Mailing address

2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-4830

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
I20251008004176 IL Practitioner - Podiatry 0446757173 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympia Foot and Ankle Care, LTD.Group PAC ID 1557375052, 3 clinicians
Renovo Health IncGroup PAC ID 1052811429, 9 clinicians
Louis D Santangelo DPM PCGroup PAC ID 6002080488, 2 clinicians

Practice addresses (Care Compare)

19801 Governors Hwy
Suite 150
Flossmoor, IL 60422-4361
Phone (708) 799-2900

246 E Janata Blvd
Suite 305
Lombard, IL 60148-5383
Phone (630) 282-7822

475 Brown Blvd
Suite 103a
Bourbonnais, IL 60914-2318
Phone (815) 933-1633

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue40
Removal of nail tissue137
Removal or shaving of skin growth76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016006091ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Foot & Ankle Care, LTD. CurrentSince Aug 15, 2025 Accepting new patients
Renovo Health Inc CurrentSince Jul 10, 2025 Accepting new patients
Louis D Santangelo DPM PC Foot & Ankle Surgery CurrentSince Aug 11, 2025 Accepting new patients
Michigan Ave Podiatry LLC 1 Foot & Ankle Surgery PastSince Aug 15, 2025 Accepting new patients

Locations

475 Brown Blvd
Ste 103A
Bourbonnais, IL 60914
Phone (815) 936-3642

19801 Governors Hwy
Ste 150
Flossmoor, IL 60422
Phone (708) 283-5075

246 E Janata Blvd
Ste 305
Lombard, IL 60148
Phone (630) 282-7822

6703 159th St
Ste 107
Tinley Park, IL 60477
Phone (630) 226-1436

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1942871074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-4830",
            "fax_number": "217-876-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-4830",
            "fax_number": "217-876-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "YOUSHA",
        "middle_name": "BIN KHALID",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-09",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016006091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.