DR. GULAM M. T. SIDDIQUI M. D.
NPI 1720131188
Emergency Medicine in Carrollton, IL

Q: 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.

Q: What is Gulam Siddiqui's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: 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.

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

800 SCHOOL ST, CARROLLTON, IL 62016(217) 942-6946(217) 942-9349 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2023, Nov 21, 2022 (2 updates tracked since 2022).

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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

NPI1720131188

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. GULAM M. T. SIDDIQUICredential: M. D.

Location Address800 SCHOOL STCarrollton, IL 62016-1436

Mailing Address942 Aspen DrLombard, IL 60148-4254 · (630) 935-8431

Phone(217) 942-6946

Fax(217) 942-9349

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 1984

Enumeration DateJanuary 19, 2007

Last NPPES UpdateMay 10, 20232 updates tracked since enumeration

NPPES CertifiedMay 10, 2023

✔ NPI 1720131188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036-072949

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 036072949 (IL)

800 SCHOOL ST, Carrollton, IL 62016

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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. 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.

PECOS PAC ID2769449305

PECOS Enrollment IDI20100113000397

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

30 services30 patients

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.

24 services21 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

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, IL

OwnershipGovernment - Local

CMS Certification Number141300

Location800 School StCarrollton, IL 62016 · Greene County

Emergency services

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141347

Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County

Emergency services

Physician 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.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.13

Promoting Interoperability

100

Improvement Activities

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$910.34 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers14 claims3,680 services$0.03 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers14 claims14 services$20.48 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KYNDAL BROWN

Nurse Practitioner (Family)