MOHAMMAD TABRAIZE SIDDIQUE M. D. NPI 1144439456

NPI Information

  • NPI: 1144439456
  • Provider Name: MOHAMMAD TABRAIZE SIDDIQUE, M. D.
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2655 WARRENVILLE RD STE 500
    DOWNERS GROVE, IL
    ZIP 60515
  • Phone: (866) 949-0108

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NPI Details

Mohammad Tabraize Siddique, M. D. is a geriatric medicine internal medicine in Downers Grove, IL with 23 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Mohammad Tabraize Siddique, M. D. NPI is 1144439456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2655 WARRENVILLE RD STE 500
DOWNERS GROVE, IL
ZIP 60515-646
Phone: (866) 949-0108
Fax: (901) 436-1384

The NPI 1144439456 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • New patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99327)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • New patient custodial care facility, group care, or assisted living visit, typically 45 minutes (HCPCS:99326)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 5/22/2007 and was last updated on 3/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine036117676ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F100323989OTHERILLINOISGROUP MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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