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DR. ESRA SIDDEEK DO
NPI 1073184933
Neuromusculoskeletal Medicine & OMM in Green Bay, WI

Active since July 01, 2021PECOS EnrolledAccepts Medicare Assignment
1821 S WEBSTER AVE, GREEN BAY, WI 54301(920) 496-4700 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2025, Nov 19, 2021, Aug 11, 2021 and 1 more (4 updates tracked since 2021).

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

NPI1073184933
Entity TypeIndividualFemale
Primary Taxonomy204D00000X
Provider Legal NameDR. ESRA SIDDEEKCredential: DO
Location Address1821 S WEBSTER AVEGreen Bay, WI 54301-2253
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Phone(920) 496-4700
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 1, 2021
Last NPPES UpdateAugust 1, 20254 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1073184933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
Licenses✔ Licensed in WI · 81874-21✔ Licensed in MO · 2021021665
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
1821 S WEBSTER AVE, Green Bay, WI 54301
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Other Identifiers 1

Medicaid100326593WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.Insurance ›

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

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.

PECOS PAC ID6406363175
PECOS Enrollment IDI20250728002534
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.

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, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

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.

IRMA CATHERINE SMET PHD
Psychologist
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
SERENA ASHOUR APNP
Nurse Practitioner
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
KATHLEEN MARIE BARKOW MD
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
GEORGE E WHETMORE DO
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
LAUREN M RESCH NP
Nurse Practitioner
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
KELSEY SMITH DPT
Physical Therapist
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
CARRIE ANN THOMS MD
Surgery
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
KRISTIN BETH MERCADO ANP-BC
Nurse Practitioner
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700

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.

What insurance does Esra Siddeek accept?

Health plans from Network Health 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 12 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.