NPIMap

Individual provider Active NPI

Zulfiqar Haider Rizvi, M.D.

  • Internal Medicine Physician
  • Palos Heights, IL
National Provider Identifier
1144276361
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.049644 Issued in IL
Practice address
12251 S 80TH Ave
Palos Heights, IL 60463-1256
Phone
(708) 371-1030
Fax
(708) 371-6567
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 3649644 IL
Internal Medicine Physician 207R00000X 036.049644 IL Primary

Addresses

Primary practice location

12251 S 80TH Ave
Palos Heights, IL 60463-1256

Mailing address

7270 W College Dr Ste 60463
Palos Heights, IL 60463-1154
Phone (708) 603-7598

Other identifiers 1

IdentifierTypeStateIssuer
036049644MedicaidIL

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
I20080329000046 IL Practitioner - Internal MedicinePractitioner - Nephrology 9931285004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palos Internists SCGroup PAC ID 7214969708, 4 clinicians

Practice addresses (Care Compare)

4647 W 103Rd St
Suite 2L
Oak Lawn, IL 60453-4793
Phone (708) 952-0200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.049644ILMDInternal Medicine Physician
3649644ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Steven Medical Center LTD Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Palos Internists SC Internal Medicine CurrentSince May 24, 2023 Accepting new patients
Premiere General Medicine S C Internal Medicine PastSince May 13, 2019 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

9401 S Pulaski Rd
Ste 203
Evergreen Pk, IL 60805
Phone (708) 425-6225

4647 W 103rd St
Ste 2L
Oak Lawn, IL 60453
Phone (708) 952-0200

11824 Southwest Hwy
Ste 130
Palos Heights, IL 60463
Phone (708) 277-6150

11824 Southwest Hwy
Ste 110
Palos Heights, IL 60463
Phone (708) 361-8449

Interoperability endpoints

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

Organizations & group practices 4

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 9

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1144276361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 W COLLEGE DR STE 60463",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631154",
            "telephone_number": "708-603-7598",
            "fax_number": "708-589-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631256",
            "telephone_number": "708-371-1030",
            "fax_number": "708-371-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "ZULFIQAR",
        "middle_name": "HAIDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "3649644",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.049644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049644",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.