NPIMap

Individual provider Active NPI

Iram Shaikh-Abbasi, M.D.

  • Family Medicine Physician
  • Clarendon Hills, IL
National Provider Identifier
1093782146
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-116426 Issued in IL
Practice address
4 Walker Ave Ste B
Clarendon Hills, IL 60514-1351
Phone
(630) 468-2034
Fax
(866) 242-0565
NPI assigned
Mar 7, 2006
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-116426 IL Primary

Addresses

Primary practice location

4 Walker Ave Ste B
Clarendon Hills, IL 60514-1351

Mailing address

4 Walker Ave Ste B
Clarendon Hills, IL 60514-1351
Phone (630) 468-2034

Other practice location 1

1415 W 47th St
LA Grange, IL 60525-6136
Phone (708) 579-9375

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070706000542 IL Practitioner - Family Practice 9436195187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Walker Ave
Suite B
Clarendon Hills, IL 60514-1351
Phone (630) 468-2034

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-116426ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Family Healthcare LTD CurrentSince Mar 1, 2018 Accepting new patients
Becker Medical, PC Past Accepting new patients
Mid-Hudson Family Health Institute Family Medicine Past Accepting new patients

Locations

4 Walker Ave
Ste B
Clarendon Hls, IL 60514
Phone (630) 468-2034

6900 S Madison St
Ste 101
Willowbrook, IL 60527
Phone (630) 468-2034

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJHCBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJHCBD/Endpoint/EJHCBD

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1093782146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WALKER AVE STE B",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141351",
            "telephone_number": "630-468-2034",
            "fax_number": "866-242-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WALKER AVE STE B",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141351",
            "telephone_number": "630-468-2034",
            "fax_number": "866-242-0565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 W 47th St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "IL",
            "postal_code": "605256136",
            "country_code": "US",
            "telephone_number": "708-579-9375",
            "fax_number": "708-579-9378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH-ABBASI",
        "first_name": "IRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-116426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarendon Hills, IL

Sources for this page

Verify at the official NPI Registry.