Individual provider Active NPI

Vaseem Qureshi, M.D.

  • Nephrology Physician
  • Chicago, IL
National Provider Identifier
1003838574
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036085458 Issued in IL
Practice address
5140 N California Ave
Suite 700
Chicago, IL 60625-3645
Phone
(773) 784-2101
Fax
(773) 784-0771
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036085458 IL Primary

Addresses

Primary practice location

5140 N California Ave
Suite 700
Chicago, IL 60625-3645

Mailing address

6535 Rodgers Dr
Willowbrook, IL 60527-5422
Phone (630) 789-0670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110115000069 IL Practitioner - NephrologyPractitioner - Internal Medicine 1355259854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humayun S S CGroup PAC ID 9537077037, 6 clinicians

Practice addresses (Care Compare)

5140 N California Ave
Suite 700
Chicago, IL 60625-3657
Phone (773) 784-2101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Loretto Hospital CurrentSince Dec 10, 2016 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Humayun S S C Nephrology CurrentSince Mar 1, 1999 Accepting new patients

Locations

2740 W Foster Ave
Ste 105
Chicago, IL 60625
Phone (773) 784-2101

5140 N California Ave
Ste 700
Chicago, IL 60625
Phone (773) 784-2101

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

610 S Maple Ave
Ste 4100
Oak Park, IL 60304
Phone (312) 654-2721

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IL PPO Downstate
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • IL HMO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHIDAD/Endpoint/AHIDAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHIDAD
  • Direct secure messaging: vqureshi50954@direct.luhs.org
  • Direct secure messaging: vaseem.qureshi@loretto.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003838574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 RODGERS DR",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275422",
            "telephone_number": "630-789-0670",
            "fax_number": "630-789-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE",
            "address_2": "SUITE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253645",
            "telephone_number": "773-784-2101",
            "fax_number": "773-784-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "VASEEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036085458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.