SAADUDDIN MOHAMMED SIDDIQUI (MD) – Emergency Medicine Physician, NPI 1063940005

SAADUDDIN MOHAMMED SIDDIQUI (MD) is a healthcare provider. based in Munster, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 125070645 (IL). The NPI Number for SAADUDDIN MOHAMMED SIDDIQUI (MD) is 1063940005

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
SAADUDDIN MOHAMMED SIDDIQUI (MD)
NPI
1063940005
Phone
(219) 836-1600
Address
901 MacArthur Blvd
Enumeration Date
2 June 2017
Last Update Date
15 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
2193921700
Graduation Year
2017 (9 years ago)
PAC ID
0244509081
Group Practice PAC ID
6608056171
Professional Enrollment ID
I20200429002283
Address ID
IN463123049EA4321XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,268 EMERGENCY MEDICINE in IN

Provider Addresses for SAADUDDIN MOHAMMED SIDDIQUI (MD)

  • 901 MacArthur Blvd

    Munster, IN 463212959

    Phone: (219) 836-1600

    Type: Location

  • 9660 WICKER AVE

    SAINT JOHN, IN 463739487

    Phone: (219) 365-1177

    Fax: (219) 703-6662

    Type: Location

  • 5841 S MARYLAND AVE # MC5068

    CHICAGO, IL 606371447

    Phone: (773) 795-9758

    Type: Location

  • Harvester Drive, Burr Ridge, DuPage County, Illinois, 65027, United States

    BURR RIDGE, IL 605276686

    Phone: (773) 702-1150

    Type: Mailing

  • 8558 BROADWAY

    MERRILLVILLE, IN 464107032

    Phone: (219) 392-7084

    Fax: (219) 703-6854

    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: 2020-04-29

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
I20200429002283IEmergency MedicineINTBD

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 making265249$0
99291Critical care, first 30-74 minutes120113$0
99284Emergency department visit with moderate level of medical decision making6058$0
99213Established patient office or other outpatient visit, 20-29 minutes2828$0
99214Established patient office or other outpatient visit, 30-39 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 46321)

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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: 6608056171View full group profile
NameSpecialtyState
Emergency MedicineMI
Physician AssistantMI
Emergency MedicineWI
Emergency MedicineNH
Family Practice, Emergency MedicineNC
Physician AssistantOR
Emergency MedicineIL
Emergency MedicineTN
-OR
Emergency MedicineKY

Reviews

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Frequently asked questions

What number should I use to identify SAADUDDIN MOHAMMED SIDDIQUI (MD) for billing?
Administrative and clinical systems typically use NPI 1063940005 for SAADUDDIN MOHAMMED SIDDIQUI (MD).
Does the public listing show SAADUDDIN MOHAMMED SIDDIQUI (MD) as active?
SAADUDDIN MOHAMMED SIDDIQUI (MD)'s NPI record reflects an active status in NPPES.
What does the directory say SAADUDDIN MOHAMMED SIDDIQUI (MD) does?
Insurance directories may phrase it differently, but here SAADUDDIN MOHAMMED SIDDIQUI (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SAADUDDIN MOHAMMED SIDDIQUI (MD)?
SAADUDDIN MOHAMMED SIDDIQUI (MD) is associated with Munster, Indiana in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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