Organization Active NPI

Zulfiqar H Rizvi MD SC

  • Internal Medicine Physician
  • Palos Heights, IL
National Provider Identifier
1114116373
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036025478 Issued in IL
Legal business name
ZULFIQAR H RIZVI MD SC
Practice address
6450 W College Dr
Palos Heights, IL 60463-1774
Phone
(708) 349-0055
Fax
(708) 460-8031
NPI assigned
Oct 23, 2007
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Zulfiqar Haider Rizvi, M.D.
Title
Owner
Phone
(708) 349-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036025478 IL Primary

Addresses

Primary practice location

6450 W College Dr
Palos Heights, IL 60463-1774

Mailing address

10660 W 143Rd St
Suite B
Orland Park, IL 60462-1982
Phone (708) 349-0055

Other identifiers 2

IdentifierTypeStateIssuer
110023244OtherILRAILROAD MEDICARE
036025478MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1114116373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 W 143RD ST",
            "address_2": "SUITE B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621982",
            "telephone_number": "708-349-0055",
            "fax_number": "708-460-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631774",
            "telephone_number": "708-349-0055",
            "fax_number": "708-460-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZULFIQAR H RIZVI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "ZULFIQAR",
        "authorized_official_middle_name": "HAIDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-349-0055",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036025478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110023244",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036025478",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.