DR. ESRA SIDDEEK DO
NPI 1073184933
Neuromusculoskeletal Medicine & OMM in Green Bay, WI
About Dr. Esra Siddeek Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ESRA SIDDEEK DO (NPI 1073184933) is an individual neuromusculoskeletal medicine & omm provider in Green Bay, Wisconsin, licensed in Wisconsin (81874-21) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Esra Siddeek Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Esra Siddeek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Vincent Hospital
Acute Care Hospitals · Green Bay, WISt Mary's Hospital Medical Center
Acute Care Hospitals · Green Bay, WIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Esra Siddeek's NPI number?
The NPI number for Esra Siddeek is 1073184933. It was assigned to this individual provider in the NPPES registry on July 1, 2021.
Where is Esra Siddeek located?
Esra Siddeek practices at 1821 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 496-4700.
What is Esra Siddeek's specialty?
The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.
Is Esra Siddeek enrolled in Medicare?
Yes. Esra Siddeek 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.
Which organizations bill Medicare for Esra Siddeek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Esra Siddeek reassigns Medicare benefits to 2 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Esra Siddeek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Esra Siddeek accept?
Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare, Dean Health Plan, Network Health and Security Health Plan list Esra Siddeek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Esra Siddeek affiliated with any hospitals?
According to CMS data, Esra Siddeek is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Esra Siddeek was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Dr. Esra Siddeek, DO · NPI 1073184933
Neuromusculoskeletal Medicine & OMM physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since July 1, 2021.
## Identity
- **NPI:** 1073184933 (Entity type: Individual)
- **Enumerated:** July 1, 2021
- **Primary specialty:** Neuromusculoskeletal Medicine & OMM · taxonomy 204D00000X
- **State license:** 81874-21 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1821 S WEBSTER AVE, Green Bay, WI 54301-2253
- **Phone:** (920) 496-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (NPI 1285613638, Green Bay, WI); St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1275799413, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 1, 2025
- **Other identifiers:** Medicaid 100326593 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1073184933) · Data from the CMS NPPES public registry.