Dr Gulam M T Siddiqui, M D - Medicare General Practice in Carrollton, IL

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Dr Gulam M T Siddiqui, M D is a medicare enrolled "Emergency Medicine" physician in Carrollton, Illinois. He went to Rush Medical College Of Rush University and graduated in 1984 and has 40 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Sanburg Emergency Group, P.c., Thomas H Boyd Memorial Hospital and his current practice location is 800 School St, Carrollton, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 942-6946.

Dr Gulam M T Siddiqui is licensed to practice in Illinois (license number 036-072949) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720131188.

Contact Information

Dr Gulam M T Siddiqui, M D
800 School St,
Carrollton, IL 62016-1436
(217) 942-6946
(217) 942-9349

Map and Direction




Physician's Profile

Full NameDr Gulam M T Siddiqui
GenderMale
SpecialityGeneral Practice
Experience40 Years
Location800 School St, Carrollton, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gulam M T Siddiqui attended and graduated from Rush Medical College Of Rush University in 1984
  NPI Data:
  • NPI Number: 1720131188
  • Provider Enumeration Date: 01/19/2007
  • Last Update Date: 05/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769449305
  • Enrollment ID: I20100113000397

Medical Identifiers

Medical identifiers for Dr Gulam M T Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720131188NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036-072949 (Illinois)Primary
208D00000XGeneral Practice 036072949 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thomas H Boyd Memorial HospitalCarrollton, ILHospital
Carlinville Area HospitalCarlinville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanburg Emergency Group, P.c.468800395711
Thomas H Boyd Memorial Hospital812308556024

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gulam M T Siddiqui allows following entities to bill medicare on his behalf.
Entity NameCarlinville Area Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932275641
PECOS PAC ID: 9032021373
Enrollment ID: O20031104000520
Entity NameThomas H Boyd Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811096811
PECOS PAC ID: 8123085560
Enrollment ID: O20041216000800
Entity NameThomas H Boyd Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1811096811
PECOS PAC ID: 8123085560
Enrollment ID: O20110118000703
Entity NameThomas H Boyd Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1699973685
PECOS PAC ID: 8123085560
Enrollment ID: O20110118000988
Entity NameSanburg Emergency Group, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992337000
PECOS PAC ID: 4688003957
Enrollment ID: O20200408000461

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gulam M T Siddiqui is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Gulam M T Siddiqui, M D
942 Aspen Dr,
Lombard, IL 60148-4254

Ph: (630) 935-8431		Dr Gulam M T Siddiqui, M D
800 School St,
Carrollton, IL 62016-1436

Ph: (217) 942-6946

Reviews and Comments


Emergency Medicine Doctors in Carrollton, IL

Dr. Mohammed W Siddiqui, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 School St, Carrollton, IL 62016
Phone: 217-942-6946    Fax: 217-942-9349

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.