SUMBUL SIDDIQUI MD, MPH
NPI 1861181455
Family Medicine in Lake Villa, IL
About Sumbul Siddiqui Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMBUL SIDDIQUI MD, MPH (NPI 1861181455) is an individual family medicine provider in Lake Villa, Illinois, licensed in Illinois (036.180533) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sumbul Siddiqui Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
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 Sumbul Siddiqui's NPI number?
The NPI number for Sumbul Siddiqui is 1861181455. It was assigned to this individual provider in the NPPES registry on May 1, 2023.
Where is Sumbul Siddiqui located?
Sumbul Siddiqui practices at 695 Park Ave, Lake Villa, IL 60046. The listed phone number is (224) 541-9100.
What is Sumbul Siddiqui's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sumbul Siddiqui enrolled in Medicare?
Yes. Sumbul Siddiqui is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sumbul Siddiqui was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.
# Sumbul Siddiqui, MD, MPH · NPI 1861181455
Family Medicine physician in Lake Villa, Illinois. Individual provider, active in the CMS NPPES registry since May 1, 2023.
## Identity
- **NPI:** 1861181455 (Entity type: Individual)
- **Enumerated:** May 1, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036.180533 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 695 PARK AVE, Lake Villa, IL 60046-6531
- **Phone:** (224) 541-9100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861181455) · Data from the CMS NPPES public registry.