NPIMap

Individual provider Active NPI

Farzana S Hosain, MD

  • Internal Medicine Physician
  • Hampshire, IL
National Provider Identifier
1114031382
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-087911 Issued in IL
Practice address
153 S State St
Hampshire, IL 60140-7010
Phone
(847) 683-3661
Fax
(847) 349-4267
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-087911 IL Primary

Addresses

Primary practice location

153 S State St
Hampshire, IL 60140-7010

Mailing address

153 S State St
Hampshire, IL 60140-7010
Phone (630) 995-6635

Other practice location 1

2971 W Algonquin Rd
Algonquin, IL 60102-9406
Phone (847) 683-3661

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
I20061204000121 IL Practitioner - Internal Medicine 2961401872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

153 S State St
Hampshire, IL 60140-7010
Phone (847) 683-3661

Hospital & facility affiliations

  • Safe Life Home Health Care, LLC Home health agency, Lombard, IL, CCN 148319
  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Carelink Home Health, LLC Home health agency, Schaumburg, IL, CCN 148016
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
  • Saint Joseph Hospital-Elgin Hospital, Elgin, IL, CCN 140217
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
73.54 of 100Reported as individual
Quality
53.59
Improvement activities
40
Cost
73.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-087911ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hampshire Clinic SC Internal Medicine CurrentSince Oct 1, 1997 Accepting new patients
Hampshire Internal Medicine Inc Internal Medicine CurrentSince Dec 12, 2021 Accepting new patients

Locations

2971 W Algonquin Rd
Ste 300
Algonquin, IL 60102

153 S State St
Hampshire, IL 60140
Phone (708) 683-3661

296 W Spring St
South Elgin, IL 60177
Phone (847) 697-2692

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1114031382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 S STATE ST",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601407010",
            "telephone_number": "630-995-6635",
            "fax_number": "847-349-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 S STATE ST",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601407010",
            "telephone_number": "847-683-3661",
            "fax_number": "847-349-4267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2971 W Algonquin Rd",
            "address_purpose": "LOCATION",
            "city": "Algonquin",
            "state": "IL",
            "postal_code": "601029406",
            "country_code": "US",
            "telephone_number": "847-683-3661",
            "fax_number": "847-349-4267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSAIN",
        "first_name": "FARZANA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-087911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampshire, IL

Sources for this page

Verify at the official NPI Registry.