Individual provider Active NPI

Maajid Mohammed Yunus Ekkiswala, M.D.

  • Hospitalist Physician
  • Freeport, IL
National Provider Identifier
1104110436
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036137436 Issued in IL
Practice address
1045 W Stephenson St
Freeport, IL 61032-4864
Phone
(815) 599-6000
NPI assigned
Jun 3, 2011
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT199826 PA
Family Medicine Physician 207Q00000X 036137436 IL
Hospitalist Physician 208M00000X 036137436 IL Primary

Addresses

Primary practice location

1045 W Stephenson St
Freeport, IL 61032-4864

Mailing address

29624 Network PL
Chicago, IL 60673-1296
Phone (779) 220-5500

Other practice location 1

901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431

Other practice location 2

875 S. Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL2 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
I20140808001050 PA Practitioner - Family Practice 5890912224 Reassigns benefits to 1 organization
I20150723009302 IL Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 5890912224 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians
Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

1 Saint Francis Way
Cranberry Township, PA 16066-5119
Phone (412) 665-8030

1 St Francis Way
Upmc Passavant Cranberry
Cranberry Township, PA 16066-5119
Phone (724) 772-5960

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

110 N Main St
Greenville, PA 16125-1726

110 N Main St FL
Greenville, PA 16125-1726

1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 431-5380

200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

One St Francis Way
Suite 206
Cranberry, PA 16066-5119
Phone (724) 720-5991

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT199826PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KSB Medical Group, Inc. Family Medicine CurrentSince Sep 25, 2021 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Insight Chicago, Inc. CurrentSince Jul 1, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 18, 2025 Accepting new patients
KSB Medical Group, Inc. CurrentSince Sep 25, 2021 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Jun 29, 2023 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Freeport Memorial Hospital CurrentSince Aug 3, 2015 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Mercy Health System Corporation CurrentSince Jul 24, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Mercy Health System Corporation CurrentSince Jul 24, 2023 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Jun 29, 2023 Accepting new patients
Insight Chicago, Inc. Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 16, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 18, 2025 Accepting new patients
Freeport Memorial Hospital PastSince Jun 16, 2024 Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477

215 E 1st St
Ste 117
Dixon, IL 61021
Phone (815) 285-5900

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

421 W Exchange St
Freeport, IL 61032
Phone (815) 599-7300

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Interoperability endpoints

  • Direct secure messaging: maajid.m.ekkiswala@upmcdirect.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1104110436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29624 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731296",
            "telephone_number": "779-220-5500",
            "fax_number": "779-220-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W STEPHENSON ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324864",
            "telephone_number": "815-599-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Grant St",
            "address_purpose": "LOCATION",
            "city": "Harvard",
            "state": "IL",
            "postal_code": "600331821",
            "country_code": "US",
            "telephone_number": "815-943-5431",
            "fax_number": "815-943-0659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 S. Route 31",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600148190",
            "country_code": "US",
            "telephone_number": "779-220-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKKISWALA",
        "first_name": "MAAJID",
        "middle_name": "MOHAMMED YUNUS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT199826",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036137436",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036137436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, IL

Sources for this page

Verify at the official NPI Registry.