Individual provider Active NPI

Hanzla Hasan Quraishi, MD

  • Physical Medicine & Rehabilitation Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1073997037
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036148198 Issued in IL
Practice address
1S450 Summit Ave Ste 165
Oakbrook Terrace, IL 60181-3952
Phone
(630) 468-0442
NPI assigned
Jul 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 99097279A IN
Physical Medicine & Rehabilitation Physician 208100000X 036148198 IL Primary

Addresses

Primary practice location

1S450 Summit Ave Ste 165
Oakbrook Terrace, IL 60181-3952

Mailing address

1S450 Summit Ave Ste 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190606001775 IL Practitioner - Physical Medicine and Rehabilitation 0749526663 Reassigns benefits to 1 organization
I20200213001862 IN Practitioner - Physical Medicine and Rehabilitation 0749526663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Home Physicians LLCGroup PAC ID 4981988771, 81 clinicians

Practice addresses (Care Compare)

1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

601 Sheffield Ave
Dyer, IN 46311-1167
Phone (219) 322-2273

Merit-based Incentive Payment System (MIPS)

Final score
21.93 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Home Physicians, LLC Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients

Locations

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1073997037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S450 SUMMIT AVE STE 165",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813952",
            "telephone_number": "630-320-6871",
            "fax_number": "630-385-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S450 SUMMIT AVE STE 165",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813952",
            "telephone_number": "630-468-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURAISHI",
        "first_name": "HANZLA",
        "middle_name": "HASAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-18",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "99097279A",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036148198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.