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

Nikhut Siddique

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982101333

Nikhut Siddique is an Infectious Disease in Peoria, Illinois. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2018, 8 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
8
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
UT
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 624-2680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 13498368-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982101333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 11, 2018
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address1205 Lake Charles Cir, Lutz, FL 33548-4718

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2018 (8 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Peoria