Individual provider Active NPI

Amanullah Siddiqui, MD

  • Sleep Medicine (Family Medicine) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1982285540
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
036.176886 Issued in IL
Practice address
3040 E Commercial Blvd
Fort Lauderdale, FL 33308-4312
Phone
(954) 289-3065
NPI assigned
Apr 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X 036.176886 IL Primary
Family Medicine Physician 207Q00000X 036.176886 IL

Addresses

Primary practice location

3040 E Commercial Blvd
Fort Lauderdale, FL 33308-4312

Mailing address

4817 Kingston Ave
Lisle, IL 60532-2220
Phone (305) 619-2981

Other practice location 1

2900 Mercy Ln Fl 3
Cheverly, MD 20785-1157
Phone (301) 851-5459

Other practice location 2

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (248) 403-0587

Other practice location 3

590 S Collins St
South Elgin, IL 60177-2452
Phone (305) 619-2981

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030003420 IL Practitioner - Sleep Medicine 2466941281

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10640 165TH St
Orland Park, IL 60467-8734

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.176886ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zoha Medical Consulting, LLC Sleep Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1982285540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 KINGSTON AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322220",
            "telephone_number": "305-619-2981",
            "fax_number": "224-252-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084312",
            "telephone_number": "954-289-3065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Mercy Ln Fl 3",
            "address_purpose": "LOCATION",
            "city": "Cheverly",
            "state": "MD",
            "postal_code": "207851157",
            "country_code": "US",
            "telephone_number": "301-851-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "248-403-0587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 S Collins St",
            "address_purpose": "LOCATION",
            "city": "South Elgin",
            "state": "IL",
            "postal_code": "601772452",
            "country_code": "US",
            "telephone_number": "305-619-2981",
            "fax_number": "224-252-3714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "AMANULLAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036.176886",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.176886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.