NADEEM SIDDIQUI (MD) – Gastroenterology Physician, NPI 1770577785

NADEEM SIDDIQUI (MD) is a healthcare provider. based in Green bay, Wisconsin. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 35007 (WI). The NPI Number for NADEEM SIDDIQUI (MD) is 1770577785

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
NADEEM SIDDIQUI (MD)
NPI
1770577785
Phone
(920) 496-4700
Address
1726 SHAWANO AVE
Enumeration Date
6 September 2005
Last Update Date
3 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9209237400
Graduation Year
1990 (36 years ago)
PAC ID
6507862315
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20061018000040
Address ID
WI549354560FO420XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

382 GASTROENTEROLOGY in WI

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Provider Addresses for NADEEM SIDDIQUI (MD)

  • Saint Mary's Hospital Medical Center, 1726, Shawano Avenue, Green Bay, Brown County, Wisconsin, 54303, United States

    GREEN BAY, WI 543033216

    Phone: (920) 496-4700

    Type: Mailing

  • East Enterprise Avenue, Appleton, Outagamie County, Wisconsin, 54912, United States

    UNIT C

    APPLETON, WI 54913

    Phone: (920) 738-7300

    Fax: (920) 738-7301

    Type: Location

  • 4309 W MEDICAL CENTER DR STE B202

    MCHENRY, IL 600508417

    Phone: (847) 535-6083

    Fax: (815) 455-2789

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $96.

Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Janssen Biotech, Inc. ($76).

Total Amount

$96

General + Research + Ownership

Payments

2

Total payment records

General Amount

$96

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-07-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061018000040IGastroenterologyWITBD
I20250714000575IGastroenterologyILTBD

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
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope5251$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3535$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope2221$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare1413$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 54303)

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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: 1658289624View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Vascular Surgery, General SurgeryWI
-ND
Nephrology, Internal MedicineWI
Family PracticeWI

Reviews

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Frequently asked questions

How is NADEEM SIDDIQUI (MD) identified in CMS data?
CMS-hosted NPPES data lists NADEEM SIDDIQUI (MD) with NPI 1770577785.
Does CMS list NADEEM SIDDIQUI (MD) as active?
Yes — NADEEM SIDDIQUI (MD) is active in the NPI listing used on this page.
What healthcare role does NADEEM SIDDIQUI (MD) hold?
Scheduling teams often label NADEEM SIDDIQUI (MD) under Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What area does NADEEM SIDDIQUI (MD) serve?
NADEEM SIDDIQUI (MD)'s listing highlights Green Bay, Wisconsin; more addresses can appear in NPPES.
Is the information about NADEEM SIDDIQUI (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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