DR. KHADIJA SIDDIQUI (D.O) – Cardiovascular Disease Physician, NPI 1831394295
Cardiovascular Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL
Provider Addresses for DR. KHADIJA SIDDIQUI (D.O)
4600 Memorial Dr Ste W1
Belleville, IL 622265359
Phone: (618) 233-3066
Type: Location
707 E Marshall Ave
Longview, TX 756015545
Phone: (903) 315-5400
Type: Location
318, East Broad Street, Mansfield, Tarrant County, Texas, 76063, United States
MANSFIELD, TX 760636413
Phone: (817) 779-3178
Fax: (817) 779-3180
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $159.
Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.
Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($122).
Total Amount
$159
General + Research + Ownership
Payments
3
Total payment records
General Amount
$159
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-10-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140616001714 | I | Cardiovascular Disease (Cardiology) | TX | TBD |
| I20251007001766 | I | Cardiovascular Disease (Cardiology) | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 19 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 13 | 13 | $0 |
Insurance plans in this area (ZIP 62226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
Reviews
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