SIDDIQ S HASAN (MD) – Surgery Physician, NPI 1679549356
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
729 GENERAL SURGERY in IN
Provider Addresses for SIDDIQ S HASAN (MD)
9800 VALPARAISO DR
MUNSTER, IN 463214040
Phone: (219) 934-9852
Fax: (219) 836-7593
Type: Location
300 Barney Dr
Suite A
Joliet, IL 604355296
Phone: (815) 744-0330
Fax: (815) 744-0445
Type: Location
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
701 SUPERIOR AVE STE 2500
MUNSTER, IN 463214037
Phone: (219) 934-9852
Fax: (815) 836-7593
Type: Location
300, Barney Drive, Joliet, Will County, Illinois, 60435, United States
SUITE A
JOLIET, IL 604355296
Phone: (815) 744-0330
Fax: (815) 744-0445
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 $200.
Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Davol Inc. ($150).
Total Amount
$200
General + Research + Ownership
Payments
3
Total payment records
General Amount
$200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $150 |
| Koya Medical, Inc. | $35 |
| PolyNovo North America LLC | $15 |
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: 2022-09-19
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 |
|---|---|---|---|---|
| I20050105000941 | I | General Surgery | IL | TBD |
| I20220919000262 | I | General Surgery | IN | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 46321)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, General Practice | OK | |
| Diagnostic Radiology | TN | |
| General Surgery | IL | |
| Cardiovascular Disease (Cardiology) | AZ | |
| U R O L O G Y | IL | |
| Gastroenterology, Internal Medicine, Internal Medicine | IL | |
| Certified Nurse Midwife (Cnm) | IL | |
| P A T H O L O G Y | IL | |
| Nurse Practitioner | IL | |
| General Surgery | IL |
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