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 and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sumbul Siddiqui Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sumbul Siddiqui reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 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.
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.
Which organization bills Medicare for Sumbul Siddiqui's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumbul Siddiqui reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). The 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 Sumbul Siddiqui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sumbul Siddiqui was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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
- **Bills Medicare through:** Lutheran General Hospital (NPI 1801809306, Park Ridge, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** September 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861181455) · Data from the CMS NPPES public registry.