Farid Saheb, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036046314 Issued in IL

Practice address

4900 N Cumberland Ave
Norridge, IL 60706-2916

Phone

(312) 910-3588

NPI assigned

Mar 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1134188287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BRADFORD LN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232322",
            "telephone_number": "312-910-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N CUMBERLAND AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607062916",
            "telephone_number": "312-910-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHEB",
        "first_name": "FARID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036046314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036046314",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "036046314",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "01606335",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Ruettiger, PHARMD
• Shandalla L Rumack, FNP
• Lukasz Ryczek
• Patrycja K Rzeznik
• Safeway Inc (Dominicks)
• Chona Santiago
• Mita S Sass, NP
• Joanna Sawicka, DON
• Michelangelo Scafidi, CERTIFIED PEDORTHIST
• Nathan Ray Schmidt, LPT

• Nephrology Physician in Norridge, IL
• Providers in Norridge, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.