DR. JEHANZAB A SIDDIQUI (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1508210808
Foot & Ankle Surgery Podiatrist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
Provider Addresses for DR. JEHANZAB A SIDDIQUI (DPM)
624, Old Farm Drive, Roselle, DuPage County, Illinois, 60172, United States
ROSELLE, IL 601723428
Phone: (630) 338-5680
Type: Mailing
10255 Southwest Hwy
Chicago Ridge, IL 604151350
Phone: (847) 390-7666
Fax: (847) 390-9345
Type: Location
2308, Roosevelt Road, Valparaiso, Porter County, Indiana, 46383, United States
VALPARAISO, IN 463832773
Phone: (219) 315-4458
Fax: (866) 343-0937
Type: Location
1660 FEEHANVILLE DR STE 450
MOUNT PROSPECT, IL 600566023
Phone: (847) 390-7666
Fax: (847) 390-9345
Type: Mailing
10002 S KEDZIE AVE
EVERGREEN PARK, IL 608053420
Phone: (847) 390-7666
Fax: (847) 390-9345
Type: Location
1524 S SANGAMON ST UNIT 612
CHICAGO, IL 606082251
Phone: (630) 338-5680
Type: Mailing
765 ELA RD STE 100
LAKE ZURICH, IL 600472339
Phone: (847) 540-9949
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $1,628.
Total Amount is formed as General ($1,628) + Research ($0) + Ownership ($0) = $1,628.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Stryker Corporation ($764).
Total Amount
$1,628
General + Research + Ownership
Payments
44
Total payment records
General Amount
$1,628
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $764 |
| Organogenesis Inc. | $262 |
| Alafair Biosciences, Inc. | $177 |
| Bioventus LLC | $111 |
| DePuy Synthes Sales Inc. | $64 |
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: 2023-08-15
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 |
|---|---|---|---|---|
| I20230815002274 | I | Podiatry | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60172)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| P O D I A T R Y | IL | |
| - | IL | |
| P O D I A T R Y | IL | |
| P O D I A T R Y | IL | |
| - | IL | |
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| P O D I A T R Y | IL |
Reviews
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