DR. MOHAMMED W SIDDIQUI (M.D.) – Emergency Medicine Physician, NPI 1457430175

DR. MOHAMMED W SIDDIQUI (M.D.) is a healthcare provider. based in Carrollton, Illinois. specializing in EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036081571 (IL). The NPI Number for DR. MOHAMMED W SIDDIQUI (M.D.) is 1457430175

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMMED W SIDDIQUI (M.D.)
NPI
1457430175
Phone
(217) 942-6946
Address
800 SCHOOL ST
Enumeration Date
3 November 2006
Last Update Date
21 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2178543141
Graduation Year
1987 (39 years ago)
PAC ID
0446152649
Group Practice PAC ID
4688003957
Professional Enrollment ID
I20040127000017
Address ID
IL626263710CA20733STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for DR. MOHAMMED W SIDDIQUI (M.D.)

  • Thomas H. Boyd Memorial Hospital, 800, School Street, Carrollton, Greene County, Illinois, 62016, United States

    CARROLLTON, IL 620161436

    Phone: (217) 942-6946

    Fax: (217) 942-9349

    Type: Location

  • Villa Park Post Office, 1415, South Ardmore Avenue, Villa Park, DuPage County, Illinois, 60181, United States

    VILLA PARK, IL 601817088

    Phone: (630) 706-0557

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-01-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040127000017IInternal MedicineILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making112104$0
99284Emergency department visit with moderate level of medical decision making9590$0
View full utilization report →

Insurance plans in this area (ZIP 62016)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688003957View full group profile
NameSpecialtyState
Emergency MedicineIL
Emergency MedicineLA
Family PracticeIL
-IL
Internal Medicine, Preventive Medicine, Emergency MedicineIL
Internal Medicine, Emergency MedicineIL
-TX
-MD
Family PracticeIL
Emergency Medicine, Pediatric MedicineMO

Reviews

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Frequently asked questions

Is DR. MOHAMMED W SIDDIQUI (M.D.) listed with a National Provider Identifier?
Yes — DR. MOHAMMED W SIDDIQUI (M.D.) has NPI 1457430175 on file in the registry.
Is there an active status for DR. MOHAMMED W SIDDIQUI (M.D.)?
For scheduling context, DR. MOHAMMED W SIDDIQUI (M.D.) is shown as active in the registry.
What expertise is attributed to DR. MOHAMMED W SIDDIQUI (M.D.)?
DR. MOHAMMED W SIDDIQUI (M.D.)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MOHAMMED W SIDDIQUI (M.D.)?
Directory geography for DR. MOHAMMED W SIDDIQUI (M.D.) centers on Carrollton, Illinois.
Does DR. MOHAMMED W SIDDIQUI (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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