DR. GULAM M. T. SIDDIQUI M. D.
NPI 1720131188
Emergency Medicine in Carrollton, IL
About Dr. Gulam M. T. Siddiqui M. D. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GULAM M. T. SIDDIQUI M. D. (NPI 1720131188) is an individual emergency medicine provider in Carrollton, Illinois, licensed in Illinois (036-072949) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Thomas H Boyd Memorial Hospital, and is a graduate of Rush Medical College Of Rush University (1984).
NPPES Registry Identity
Specialties & Licenses 2
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. Gulam M. T. Siddiqui 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.
Medicare Billing Reassignments
2Medicare enrollment records show Gulam Siddiqui reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carrollton, IL 62016
- Reassigned Medicare billing, Illinois enrollment
- 22 clinicians in this Medicare group
Galesburg, IL 61401
- Reassigned Medicare billing, Illinois enrollment
- 36 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thomas H Boyd Memorial Hospital
Critical Access Hospitals · Carrollton, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 13
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 Gulam Siddiqui's NPI number?
The NPI number for Gulam Siddiqui is 1720131188. It was assigned to this individual provider in the NPPES registry on January 19, 2007.
Where is Gulam Siddiqui located?
Gulam Siddiqui practices at 800 School St, Carrollton, IL 62016. The listed phone number is (217) 942-6946.
What is Gulam Siddiqui's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Gulam Siddiqui enrolled in Medicare?
Yes. Gulam 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.
Which organizations bill Medicare for Gulam Siddiqui's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gulam Siddiqui reassigns Medicare benefits to 2 organizations: Thomas H. Boyd Memorial Hospital (Carrollton, IL) and Sanburg Emergency Group, P.C. (Galesburg, IL). 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 Gulam Siddiqui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gulam Siddiqui accept?
Health plans from Oscar Health list Gulam Siddiqui 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 Gulam Siddiqui affiliated with any hospitals?
According to CMS data, Gulam Siddiqui is affiliated with Thomas H Boyd Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Gulam Siddiqui was last updated on May 10, 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.
# Dr. Gulam M. T. Siddiqui, M. D. · NPI 1720131188
Emergency Medicine physician in Carrollton, Illinois. Individual provider, active in the CMS NPPES registry since January 19, 2007.
## Identity
- **NPI:** 1720131188 (Entity type: Individual)
- **Enumerated:** January 19, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036-072949 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 SCHOOL ST, Carrollton, IL 62016-1436
- **Phone:** (217) 942-6946 · **Fax:** (217) 942-9349
## 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): Thomas H. Boyd Memorial Hospital (NPI 1811096811, Carrollton, IL); Sanburg Emergency Group, P.C. (NPI 1992337000, Galesburg, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 1984
## Record status
- **NPPES last updated:** May 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1720131188) · Data from the CMS NPPES public registry.