NPIMap

Individual provider Active NPI

Bazgha Siddiqui, M.D

  • Infectious Disease Physician
  • Joliet, IL
National Provider Identifier
1972776516
Registry record updated Feb 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036127654 Issued in IL
Practice address
1051 Essington Road
Suite 210
Joliet, IL 60435-2812
Phone
(815) 726-1818
Fax
(815) 726-0232
NPI assigned
Apr 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036127654 IL Primary

Addresses

Primary practice location

1051 Essington Road
Suite 210
Joliet, IL 60435-2812

Mailing address

1051 Essington Road
Suite 210
Joliet, IL 60435-2812
Phone (815) 726-1818

Other names 1

  • Bazgha Rehan Former name

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
I20131002000490 IL Practitioner - Infectious DiseasePractitioner - Internal Medicine 1254565328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Infectious Disease Associates LTDGroup PAC ID 8224092028, 11 clinicians

Practice addresses (Care Compare)

1051 Essington Rd
Suite 210
Joliet, IL 60435-2812
Phone (815) 726-1818

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Infectious Disease Associates LTD CurrentSince Aug 8, 2016 Accepting new patients
Infectious Disease Specialists LTD. Infectious Disease PastSince Aug 1, 2010 Accepting new patients

Locations

1555 N Barrington Rd
Ste 4100
Hoffman Estates, IL 60169
Phone (847) 741-4376

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1051 Essington Rd
Ste 210
Joliet, IL 60435
Phone (815) 726-1818

Organizations & group practices 2

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 9

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": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1972776516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 ESSINGTON ROAD",
            "address_2": "SUITE 210",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352812",
            "telephone_number": "815-726-1818",
            "fax_number": "815-726-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 ESSINGTON ROAD",
            "address_2": "SUITE 210",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352812",
            "telephone_number": "815-726-1818",
            "fax_number": "815-726-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "BAZGHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-03",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036127654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAZGHA",
            "last_name": "REHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.