Active NPI
Prime Immediate and Primary Care Incorporated
- Family Medicine Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036126023
- Legal business name
- PRIME IMMEDIATE AND PRIMARY CARE INCORPORATED
- Practice address
- 535 Fairway Dr
Suite 107
Naperville, IL 60563-3938 - Phone
- (630) 857-3967
- Fax
- (630) 995-3027
- NPI assigned
- Oct 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fouzia B Muhammedkarim, MD
- Title
- Owner
- Phone
- (630) 857-3967
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036126023 | IL | Primary |
Addresses
Primary practice location
535 Fairway Dr
Suite 107
Naperville, IL 60563-3938
Mailing address
535 Fairway Dr
Suite 107
Naperville, IL 60563-3938
Phone (630) 857-3967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036126023 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2070909 | Prime Immediate and Primary Care Inc | Certificate of waiver | Dec 29, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Prime Immediate and Primary Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Naperville, IL
- NPI 1518313717
Locations
535 Fairway Dr
Ste 119
Naperville, IL 60563
Phone (513) 432-2303
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Naperville, IL
- NPI 1508071309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461196800000",
"number": "1144658287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 FAIRWAY DR",
"address_2": "SUITE 107",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605633938",
"telephone_number": "630-857-3967",
"fax_number": "630-995-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 FAIRWAY DR",
"address_2": "SUITE 107",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605633938",
"telephone_number": "630-857-3967",
"fax_number": "630-995-3027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME IMMEDIATE AND PRIMARY CARE INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2016-04-21",
"status": "A",
"authorized_official_last_name": "MUHAMMEDKARIM",
"authorized_official_first_name": "FOUZIA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-857-3967",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": "036126023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036126023",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.