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SAADUDDIN MOHAMMED SIDDIQUI MD
NPI 1063940005
Emergency Medicine in Saint John, IN

Active since June 02, 2017PECOS EnrolledAccepts Medicare Assignment
9660 WICKER AVE, SAINT JOHN, IN 46373(219) 365-1177(219) 703-6662 Get Directions Write a Review

NPPES record last updated: July 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2023, Jan 18, 2022, Jun 2, 2017 (3 updates tracked since 2017).

About Saaduddin Mohammed Siddiqui Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAADUDDIN MOHAMMED SIDDIQUI MD (NPI 1063940005) is an individual emergency medicine provider in Saint John, Indiana, licensed in Indiana (01083224A) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and maintains a secondary practice location in Munster.

NPPES Registry Identity

NPI1063940005
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSAADUDDIN MOHAMMED SIDDIQUICredential: MD
Location Address9660 WICKER AVESaint John, IN 46373-9487
Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084 · Fax (219) 703-6854
Phone(219) 365-1177
Fax(219) 703-6662
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2017
Enumeration DateJune 2, 2017
Last NPPES UpdateJuly 15, 20233 updates tracked since enumeration
NPPES CertifiedJuly 15, 2023
✔ NPI 1063940005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IN · 01083224A✔ Licensed in IL · 125070645
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
9660 WICKER AVE, Saint John, IN 46373
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Secondary Practice Location 1

Location 1901 MacArthur BlvdMunster, IN 46321-2959 · Phone (219) 836-1600

Other Identifiers 1

Medicaid300038001IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Saaduddin Mohammed Siddiqui Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244509081
PECOS Enrollment IDI20200429002283
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
302 services277 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
58 services55 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
51 services48 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150008
Location4321 Fir StreetEast Chicago, IN 46312 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARITA VEGA-SUAREZ FNP-C
Nurse Practitioner (Family)
9660 WICKER AVE, 2ND FL
SAINT JOHN, IN 46373
Lake County (219) 703-2417
DR. TASHA M HARRIS MD
Emergency Medicine
9660 WICKER AVE
ST. JOHN, IN 46373
Lake County (219) 365-7620
MUNSTER ORTHOPAEDIC INSTITUTE, LLC
Orthopaedic Surgery
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 677-4940
MS. ALICIA FOWLER NP-C
Nurse Practitioner (Family)
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 365-1177
MUNSTER ORTHOPAEDIC INSTITUTE, LLC
Durable Medical Equipment & Medical Supplies
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 836-2225
ALONZO KEVIN MORRISSEY MD
Family Medicine
9660 WICKER AVE
ST JOHN, IN 46373
Lake County (219) 365-1166
MARNE J JUESTEL FNP
Nurse Practitioner
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 365-1177
DR. ROBERT P CHEN MD
Internal Medicine
9660 WICKER AVE
SAINT JOHN, IN 46373
Lake County (219) 365-1166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Saaduddin Siddiqui's NPI number?

The NPI number for Saaduddin Siddiqui is 1063940005. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Where is Saaduddin Siddiqui located?

Saaduddin Siddiqui practices at 9660 Wicker Ave, Saint John, IN 46373. The listed phone number is (219) 365-1177.

What is Saaduddin Siddiqui's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Saaduddin Siddiqui enrolled in Medicare?

Yes. Saaduddin Siddiqui is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Saaduddin Siddiqui affiliated with any hospitals?

According to CMS data, Saaduddin Siddiqui is affiliated with St Catherine Hospital Inc.

When was this NPI record last updated?

The NPPES record for Saaduddin Siddiqui was last updated on July 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.