Individual provider Active NPI

Fatima Hussain, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1144660440
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.139995 Issued in IL
Practice address
181 W Madison St Ste 4550
Chicago, IL 60602-4636
Phone
(312) 641-2586
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-45570 IA
Family Medicine Physician 207Q00000X 19174 NH
Family Medicine Physician 207Q00000X 57277 AZ
Family Medicine Physician 207Q00000X 64519 MN
Family Medicine Physician 207Q00000X CDR.0000196 CO
Family Medicine Physician 207Q00000X 31177 NE
Family Medicine Physician 207Q00000X 04-41426 KS
Family Medicine Physician 207Q00000X 28467 WV
Family Medicine Physician 207Q00000X 234-320 WI
Family Medicine Physician 207Q00000X 15969 ND
Family Medicine Physician 207Q00000X D88183 MD
Family Medicine Physician 207Q00000X 036.139995 IL Primary

Addresses

Primary practice location

181 W Madison St Ste 4550
Chicago, IL 60602-4636

Mailing address

181 W Madison St Ste 4550
Chicago, IL 60602-4636
Phone (312) 641-2586

Other practice location 1

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7000

Other practice location 2

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57277AZMDFamily Medicine Physician
CDR.0000196COMDFamily Medicine Physician
MD-45570IAMDFamily Medicine Physician
036.139995ILMDFamily Medicine Physician
04-41426KSMDFamily Medicine Physician
D88183MDMDFamily Medicine Physician
64519MNMDFamily Medicine Physician
15969NDMDFamily Medicine Physician
31177NEMDFamily Medicine Physician
19174NHMDFamily Medicine Physician
234-320WIMDFamily Medicine Physician
28467WVMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: fatima.hussain.p1@direct.saintjosephs.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1144660440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MADISON ST STE 4550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024636",
            "telephone_number": "312-641-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MADISON ST STE 4550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024636",
            "telephone_number": "312-641-2586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107014006",
            "country_code": "US",
            "telephone_number": "914-378-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107014006",
            "country_code": "US",
            "telephone_number": "914-378-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "FATIMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-45570",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "19174",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "57277",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "64519",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDR.0000196",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "31177",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-41426",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "28467",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "234-320",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "15969",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D88183",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.139995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.