Ruksana S Nazneen, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-104152 Issued in IL

Practice address

1625 E 75TH St
Chicago, IL 60649-3603

Phone

(773) 947-7310

NPI assigned

Jul 20, 2006

Last updated

Apr 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Friedell Clinic, S. C.Group PAC ID 2567366164, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson Park Hospital Hospital, Chicago, IL, CCN 140177

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ruksananazneen@jph.medalliesdirect.net

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.

• Friedell Clinic, S. C.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1306854021
  Medicare reassignment Care Compare group NPD
• Integrated Health Care Providers LLC

  dba Doctors Immediate Care

  • General Practice Physician
  • Lombard, IL
  • NPI 1720353394
  NPD (past) Authorized official
• Jackson Park Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1740567312
  Authorized official Same address or phone
• Jackson Park Hospital Foundation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1497750699
  NPD
• Emergency Care Physician Services HP, LTD.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1104841774
  NPD (past)
• Schaumburg Medical Group LLC

  • Specialist
  • Schaumburg, IL
  • NPI 1174864557
  NPD (past)
• Sullivan Urgent Aid Centers, LTD

  • Emergency Medicine Physician
  • Tinley Park, IL
  • NPI 1235175803
  NPD (past)

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

• Jackson Park Hospital Foundation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1497750699
  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1063432474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493603",
            "telephone_number": "773-947-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493603",
            "telephone_number": "773-947-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZNEEN",
        "first_name": "RUKSANA",
        "middle_name": "S",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-104152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-104152",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hamid Khalid Nazeer, D.O.
• Rumana Nazeer, RPH
• Jennifer Sue Nazha, LPC
• Ashfique Nazib, DO
• Asad Nazir, M.D.
• Ehab Nazzal, MD
• Laura Francis Nazzarine
• NC Teledentistry
• Nchanji PLLC
• Nzuekoh Nvepowoh Nchinda, MD

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.