Active NPI
Sarah Nazeer Siddiqui, D.O.
- Internal Medicine Physician
- La Grange Highlands, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036.124438
- Practice address
- 5201 Willow Springs Rd Ste 160
La Grange Highlands, IL 60525-6558 - Phone
- (708) 245-8120
- NPI assigned
- Apr 17, 2009
- Last updated
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036.124438 | IL | Primary |
Addresses
Primary practice location
5201 Willow Springs Rd Ste 160
La Grange Highlands, IL 60525-6558
Mailing address
5201 Willow Springs Rd Ste 160
La Grange Highlands, IL 60525-6558
Phone (708) 245-8120
Other practice location 1
6723 Roosevelt Rd
Berwyn, IL 60402-1007
Phone (708) 383-6333
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sarah.siddiqui.1@380.direct.athenahealth.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Ohio University, College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
396 Remington Blvd
Bolingbrook, IL 60440-4311
630 E N Ave
Carol Stream, IL 60188-2127
Phone (630) 458-5300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.124438 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Partners,Inc | Current | Accepting new patients | |
| Adventist Health Partners, Inc. | Current | Accepting new patients | |
| Adventist Health Partners, Inc. | Current | Accepting new patients | |
| Adventist Health Partners,Inc | Past | Accepting new patients | |
| 24 Ihim LLC | Internal Medicine | Past | Accepting new patients |
| Adventist Health Partners, Inc | Past | Accepting new patients | |
| Holy Cross Hospital | Internal Medicine | Past | Accepting new patients |
Locations
6723 Roosevelt Rd
Berwyn, IL 60402
Phone (708) 383-6333
396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301
701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000
911 N Elm St
Ste 123
Hinsdale, IL 60521
Phone (630) 325-5709
5201 Willow Springs Rd
Ste 150
La Grange Highlands, IL 60525
Phone (630) 789-9093
5201 Willow Springs Rd
Ste 160
La Grange Highlands, IL 60525
Phone (708) 245-8120
5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073
Interoperability endpoints
- sarah.siddiqui.1@26824.direct.athenahealth.com
- sarah.siddiqui.1@380.direct.athenahealth.com
- ssiddiqui1241168@adventhealth.direct-ci.com
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
- La Grange, IL
- NPI 1932650496
-
dba Adventist Maternal Fetal Medicine
- Maternal & Fetal Medicine Physician
- Hinsdale, IL
- NPI 1104224138
-
dba Glendale Family Practice
- Family Medicine Physician
- Bloomingdale, IL
- NPI 1043255888
-
- Internal Medicine Physician
- Melrose Park, IL
- NPI 1730251083
-
dba Hinsdale Primary Care
- Family Medicine Physician
- Hinsdale, IL
- NPI 1952339939
-
dba Family Practice Associates
- Family Medicine Physician
- Hinsdale, IL
- NPI 1265475032
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1952373557
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Bolingbrook
- General Acute Care Hospital
- Bolingbrook, IL
- NPI 1164530465
-
- 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 Uchicago Medicine Adventhealth Home Care
- Home Health Agency
- La Grange, IL
- NPI 1457397317
-
dba Adventhealth la Grange
- Rehabilitation Hospital Unit
- La Grange, IL
- NPI 1588068274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1982847026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS RD STE 160",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605256558",
"telephone_number": "708-245-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS RD STE 160",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605256558",
"telephone_number": "708-245-8120"
}
],
"practiceLocations": [
{
"address_1": "6723 Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Berwyn",
"state": "IL",
"postal_code": "604021007",
"country_code": "US",
"telephone_number": "708-383-6333",
"fax_number": "708-383-6347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "SARAH",
"middle_name": "NAZEER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-17",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.124438",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sarah.siddiqui.1@380.direct.athenahealth.com",
"affiliation": "N",
"address_1": "5201 Willow Springs Rd Ste 160",
"city": "LA Grange Highlands",
"state": "IL",
"country_code": "US",
"postal_code": "605256558",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Grange Highlands, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.