Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marium Siddiqui, MD

Individual provider Internal Medicine Physician · NPI 1407387012

Marium Siddiqui, MD is a Hospitalist in Mount Pleasant, Wisconsin. Qualified in 2006, 20 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
20
Licensed in
WI
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone: (262) 687-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 73371-20 (WI)

Record details

NPI number1407387012
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2017
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020
Mailing address713 Summit Ln, Vernon Hills, IL 60061-2352

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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