MOMIN SAULAT SIDDIQUE M.D.
NPI 1184852089
Internal Medicine - Cardiovascular Disease in Springfield, IL

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
747 N RUTLEDGE ST, 5TH FLOOR, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-7063 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Momin Saulat Siddique M.d. NPPES

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

MOMIN SAULAT SIDDIQUE M.D. (NPI 1184852089) is an individual cardiovascular disease provider in Springfield, Illinois, licensed in Illinois (036-137934) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1184852089
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMOMIN SAULAT SIDDIQUECredential: M.D.
Location Address747 N RUTLEDGE ST, 5TH FLOORSpringfield, IL 62702-6700
Mailing Address747 N Rutledge St, Po Box 19627Springfield, IL 62702-6700 · (217) 545-8000 · Fax (217) 545-7063
Fax(217) 545-7063
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 30, 2009
Last NPPES UpdateOctober 25, 2016
NPI 1184852089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036-137934
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

747 N RUTLEDGE ST, Springfield, IL 62702

Other Identifiers 2

Medicare PINF400235209IL
Medicaid036137934IL

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

Momin Saulat Siddique M.d. 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 ID2062727167
PECOS Enrollment IDI20150819007111, I20210331000618
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 14

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
253 services221 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
216 services212 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
82 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services53 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
53 services52 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
41 services40 patients

Hospital Affiliations CMS Care Compare 3

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

Obstetrics & Gynecology
747 N RUTLEDGE ST, 2ND FLOOR
SPRINGFIELD, IL 62702
Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Obstetrics & Gynecology
747 N RUTLEDGE ST, BAYLIS BUILDING, 2ND FLOOR
SPRINGFIELD, IL 62702
Internal Medicine (Cardiovascular Disease)
747 N RUTLEDGE ST, 5TH FLOOR
SPRINGFIELD, IL 62702
Pharmacist
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Internal Medicine (Cardiovascular Disease)
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Plastic Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Plastic Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

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 Momin Siddique's NPI number?

The NPI number for Momin Siddique is 1184852089. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Momin Siddique located?

Momin Siddique practices at 747 N Rutledge St 5th Floor, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Momin Siddique's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Momin Siddique enrolled in Medicare?

Yes. Momin Siddique 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 Momin Siddique affiliated with any hospitals?

According to CMS data, Momin Siddique is affiliated with Decatur Memorial Hospital, Memorial Medical Center and Taylorville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Momin Siddique was last updated on October 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.