SAUD SIDDIQUI MD
NPI 1275916918
Family Medicine - Hospice and Palliative Medicine in Lisle, IL

NPI Status: Active since June 30, 2015

Contact Information

430 WARRENVILLE RD STE 300
LISLE, IL
ZIP 60532
Phone: (630) 364-7850

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Areas of Expertise
Durable Medical Equipment
Physician Visit Costs
Hospital Affiliations - Privileges
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 16
Family Medicine
Hospice and Palliative Medicine
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled

About SAUD SIDDIQUI

This page provides the complete NPI Profile along with additional information for Saud Siddiqui, a provider established in Lisle, Illinois with a medical specialization in Family Medicine, focusing in hospice and palliative medicine and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1275916918 assigned on June 2015. The practitioner's primary taxonomy code is 207QH0002X with license number 036.145785 (IL). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI: 1275916918
Provider Name: SAUD SIDDIQUI MD
Gender: Male
Entity Type: Individual
Location Address: 430 WARRENVILLE RD STE 300 LISLE, IL 60532
Location Phone: (630) 364-7850
Mailing Address: 1860 PAYSPHERE CIR CHICAGO, IL 60674
Mailing Phone: (630) 469-2000
Mailing Fax
Medical School Name: OTHER
Graduation Year: 2010
Is Sole Proprietor?: No
Enumeration Date: 06-30-2015
Last Update Date: 01-09-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Family Medicine Hospice and Palliative Medicine
Taxonomy Code: 207QH0002X
Type: Allopathic & Osteopathic Physicians
License No.: 036.145785
License State: IL
Taxonomy Description: A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO

Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Bronze PPO? 201 - PPO
Blue Choice Preferred Bronze PPO? 701 - PPO
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
Blue Choice Preferred Gold PPO? 204 - PPO
Blue Choice Preferred Gold PPO? 901 - PPO
Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
Blue Choice Preferred Security PPO? 200 - PPO
Blue Choice Preferred Silver PPO? 203 - PPO
Blue Choice Preferred Silver PPO? 801 - PPO
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
Blue Precision Bronze HMO? 205 - HMO
Blue Precision Bronze HMO? 701 - HMO
Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
Blue Precision Gold HMO? 207 - HMO
Blue Precision Gold HMO? 703 - HMO
Blue Precision Gold HMO? Standard - Rx Copays - HMO
Blue Precision Silver HMO? 206 - HMO
Blue Precision Silver HMO? 704 - HMO
Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
MyBlue Plus Bronze? 903 - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Saud Siddiqui is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Saud Siddiqui is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 1951610179
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20190820001647
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

DME-Orthotic Devices (DF010N)
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each (HCPCS:A4388)
1 DME suppliers used 13 Medicare Claims 370 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Telephone medical discussion with physician, 21-30 minutes

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.25 for a new patient copayment and $26.26 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60532 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $93.02
Minimum New Patient Price $59.81
Maximum New Patient Price $181.38

Average New Patient Copayment $23.25
Minimum New Patient Copayment $14.95
Maximum New Patient Copayment $45.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $105.07
Minimum Established Patient Price $19.15
Maximum Established Patient Price $147.12

Average Established Patient Copayment $26.26
Minimum Established Patient Copayment $4.78
Maximum Established Patient Copayment $36.78

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Saud Siddiqui is affiliated with the following medical facilities:

Hospital Name	Address	Phone	Hospital Type	Overall Rating
INGALLS MEMORIAL HOSPITAL	1 INGALLS DRIVE HARVEY, IL 60426	(708) 333-2300	Acute Care Hospitals

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	7	5	9	1	6	9	1	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	14	5	18	1	12	9	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 8 + 1 + 1 + 2 + 9 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8									8

The NPI number 1275916918 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.