DR. MUMTAZ A SIDDIQUI (M.D.) – Cardiovascular Disease Physician, NPI 1679569925

DR. MUMTAZ A SIDDIQUI (M.D.) is a healthcare provider. based in Normal, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), CARDIAC ELECTROPHYSIOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. The NPI Number for DR. MUMTAZ A SIDDIQUI (M.D.) is 1679569925

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. MUMTAZ A SIDDIQUI (M.D.)
NPI
1679569925
Phone
(309) 828-1166
Address
1302 FRANKLIN AVE
Enumeration Date
22 September 2005
Last Update Date
27 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
6608845896
Professional Enrollment ID
I20040924000638
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

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Provider Addresses for DR. MUMTAZ A SIDDIQUI (M.D.)

  • 1302, Franklin Avenue, Old East Side, Normal, McLean County, Illinois, 61761, United States

    SUITE 4500

    NORMAL, IL 617613551

    Phone: (309) 828-1166

    Mailing address matches the actual address.

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: 2004-09-24

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
I20040924000638ICardiovascular Disease (Cardiology)ILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4,858397$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes243228$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes130125$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function4543$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2014$0
View full utilization report →

Insurance plans in this area (ZIP 61761)

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Provider's Procedures

DR. MUMTAZ A SIDDIQUI (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)IL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report7253

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Frequently asked questions

What is DR. MUMTAZ A SIDDIQUI (M.D.)'s NPI number?
DR. MUMTAZ A SIDDIQUI (M.D.)'s NPI is 1679569925 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. MUMTAZ A SIDDIQUI (M.D.)?
You should see DR. MUMTAZ A SIDDIQUI (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. MUMTAZ A SIDDIQUI (M.D.)?
At a glance, DR. MUMTAZ A SIDDIQUI (M.D.) is tied to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MUMTAZ A SIDDIQUI (M.D.)?
Travel planning: use Normal, Illinois as the reference point for DR. MUMTAZ A SIDDIQUI (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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