Mohammad T Siddique (NPI# 1144439456, PAC ID# 9436225497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1144439456 |
| PAC ID by PECOS | 9436225497 |
| Professional Enrollment ID | I20080828000094 |
| Full Name | Mohammad T Siddique |
| Organization Legal Name | MIDWEST GERIATRICS LLC |
| Address |
6101 S County Line Rd Burr Ridge IL 60527-8132 |
| Phone Number | 6303232250 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | GERIATRIC MEDICINE |
| Group Practice PAC ID | 2062708571 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 140258 | ALEXIAN BROTHERS MEDICAL CENTER 1 |
| Address | Phone | Organization |
|---|---|---|
| 30 Stratford Dr, Bloomingdale, IL 60108-2201 | 6308932210 | DUPAGE MEDICAL GROUP LTD |
| 6101 S County Line Rd, Burr Ridge, IL 60527-8132 | 6303232250 | MIDWEST GERIATRICS LLC |
| 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 6304699200 | DUPAGE MEDICAL GROUP LTD |
| 40 S Clay St, Hinsdale, IL 60521-3257 | DUPAGE MEDICAL GROUP LTD | |
| 430 Warrenville Rd, Suite 210, Lisle, IL 60532-1348 | 6304326180 | DUPAGE MEDICAL GROUP LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_282_overall | Dementia: Functional Status Assessment | 100% | |
| MIPS_EC_282_overall | Dementia: Functional Status Assessment | 100% | |
| MIPS_EC_283_overall | Dementia: Neuropsychiatric Symptom Assessment | 100% | |
| MIPS_EC_283_overall | Dementia: Neuropsychiatric Symptom Assessment | 100% |
| Organization Legal Name | MIDWEST GERIATRICS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vyjayanthi Atluri | Geriatric Medicine | Midwest Geriatrics LLC | 6101 S County Line Rd, Burr Ridge, IL 60527-8132 |
| Elizabeth A Rochford | Nurse Practitioner | Midwest Geriatrics LLC | 6101 S County Line Rd, Burr Ridge, IL 60527-8132 |
| Rahmawati Sih | Geriatric Medicine | Midwest Geriatrics LLC | 6101 S County Line Rd, Burr Ridge, IL 60527-8132 |
| Robert J Duch | Family Medicine | Midwest Geriatrics LLC | 6101 S County Line Rd, Burr Ridge, IL 60527-8132 |
| Ahmed Nazimuddin | Geriatric Medicine | Midwest Geriatrics LLC | 6101 S County Line Rd, Burr Ridge, IL 60527-8132 |
| Shahla M Nyaeme | Geriatric Medicine | Midwest Geriatrics LLC | 6101 S County Line Rd, Burr Ridge, IL 60527-8132 |
| Mohammed A Yousuf | Geriatric Medicine | Midwest Geriatrics LLC | 6101 S County Line Rd, Burr Ridge, IL 60527-8132 |
| Street Address |
6101 S COUNTY LINE RD |
| City | BURR RIDGE |
| State | IL |
| Zip | 60527-8132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vyjayanthi Atluri | Geriatric Medicine | Midwest Geriatrics LLC | 6101 S County Line Rd, Burr Ridge, IL 60527-8132 |
| Elizabeth A Rochford | Nurse Practitioner | Midwest Geriatrics LLC | 6101 S County Line Rd, Burr Ridge, IL 60527-8132 |
| Alexandria Catherine Lohr | Physical Therapy | Dpt Sport PC | 6101 S County Line Rd, Suite 57, Burr Ridge, IL 60527-8132 |
| Megan Anne Lamphere | Physical Therapy | Dpt Sport PC | 6101 S County Line Rd, Suite 57, Burr Ridge, IL 60527-8132 |
| Karla Wente | Physical Therapy | Dpt Sport PC | 6101 S County Line Rd, Suite 57, Burr Ridge, IL 60527-8132 |
| Rahmawati Sih | Geriatric Medicine | Midwest Geriatrics LLC | 6101 S County Line Rd, Burr Ridge, IL 60527-8132 |
| Kristen L Davies | Physical Therapy | Dpt Sport PC | 6101 S County Line Rd, Suite 57, Burr Ridge, IL 60527-8132 |
| Michelle M Carlevato | Physical Therapy | Dpt Sport PC | 6101 S County Line Rd, Suite 57, Burr Ridge, IL 60527-8132 |
| Robert J Duch | Family Medicine | Midwest Geriatrics LLC | 6101 S County Line Rd, Burr Ridge, IL 60527-8132 |
| Ahmed Nazimuddin | Geriatric Medicine | Midwest Geriatrics LLC | 6101 S County Line Rd, Burr Ridge, IL 60527-8132 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Michael Smith | Family Medicine | Vpa PC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Candice S Anderson | Family Medicine | Vpa PC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Holly Huong Le | Optometry | Direct Healthcare Solutions LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Sarah J Seavers | Qualified Audiologist | Direct Healthcare Solutions LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Diana N Ranjbar | Optometry | Direct Healthcare Solutions LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Cassandra Waramit | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Angela Peters | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Jennifer N Heise | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Sung H Kweon | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Natasha B Gray | Nurse Practitioner | Paragon Clinical LLC | 1333 Burr Ridge Pkwy, Suite 200, Burr Ridge, IL 60527-0833 |
| Find all physicians in zip 60527 | |||
| City | BURR RIDGE |
| Zip Code | 60527 |
| Specialty | GERIATRIC MEDICINE |
| City + Specialty | BURR RIDGE + GERIATRIC MEDICINE |
Please comment or provide details below to improve the information on Mohammad T Siddique.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.