DR. FAZEEL MUKHTAR SIDDIQUI (M.D.) – Vascular Neurology Physician, NPI 1154513687
Vascular Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,188 NEUROLOGY in IL
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Provider Addresses for DR. FAZEEL MUKHTAR SIDDIQUI (M.D.)
PO BOX 19643
SPRINGFIELD, IL 627949643
Phone: (217) 545-8000
Fax: (217) 545-7363
Type: Mailing
North Rutledge Street, Springfield, Sangamon County, Illinois, 62702, United States
SPRINGFIELD, IL 627024968
Phone: (217) 545-8000
Fax: (217) 545-7363
Type: Location
1221 Sixth St Ste 300
Traverse City, MI 496842360
Phone: (231) 392-0640
Fax: (231) 392-0643
Type: Location
2122 Health Dr SW Ste 160
Wyoming, MI 495199402
Phone: (616) 252-5790
Type: Location
220 Cherry St SE
Grand Rapids, MI 495034608
Phone: (616) 685-5050
Type: Location
2122 HEALTH DR SW STE 160
WYOMING, MI 495199402
Phone: (616) 252-5790
Type: Mailing
5900 BYRON CENTER AVE SW
WYOMING, MI 495199606
Phone: (616) 252-7200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $5,184.
Total Amount is formed as General ($5,184) + Research ($0) + Ownership ($0) = $5,184.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Medtronic, Inc. ($2,139).
Total Amount
$5,184
General + Research + Ownership
Payments
66
Total payment records
General Amount
$5,184
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,139 |
| Medical Device Business Services, Inc. | $737 |
| Stryker Corporation | $693 |
| Penumbra, Inc. | $390 |
| MicroVention, Inc. | $326 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-05-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190513001577 | I | Neurology | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 62794)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Hospitalist, Internal Medicine | MI | |
| - | MI | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI |
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