NPIMap

Individual provider Active NPI

Harris Waheed, MD

  • Family Medicine Physician
  • Kankakee, IL
National Provider Identifier
1164511580
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36116934 Issued in IL
Practice address
70 Meadowview Ctr
Suite 200
Kankakee, IL 60901-2047
Phone
(815) 802-0000
Fax
(815) 935-1000
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36116934 IL Primary

Addresses

Primary practice location

70 Meadowview Ctr
Suite 200
Kankakee, IL 60901-2047

Mailing address

PO Box 95
Bourbonnais, IL 60914-0095
Phone (815) 802-0000

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
I20061213000344 IL Practitioner - Family Practice 2769481191 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Home Physicians LLCGroup PAC ID 4981988771, 81 clinicians
Integrated Wound Consultants LLCGroup PAC ID 8921537762, 9 clinicians
First Care Family Clinic SCGroup PAC ID 8820263999, 4 clinicians

Practice addresses (Care Compare)

1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

1315 N Highland Ave
Suite 100
Aurora, IL 60506-1459
Phone (630) 413-9119

70 Meadowview Ctr
Suite 200
Kankakee, IL 60901-2063
Phone (815) 802-0000

Hospital & facility affiliations

  • Uplifted Care Hospice, Bourbonnais, IL, CCN 141556
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
  • Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155
  • Arc at Kankakee Nursing home, Kankakee, IL, CCN 146056
  • Momence Meadows Nursing & Rehab Nursing home, Momence, IL, CCN 145713

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36116934ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Family Clinic, S.C. Family Medicine CurrentSince Sep 1, 2011 Accepting new patients
Community Home Physicians, LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
The SNF Group, PLLC Family Medicine Past Accepting new patients
Zaheer Pediatric Associates, SC Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

70 Meadowview Ctr
Ste 200
Kankakee, IL 60901
Phone (815) 802-0000

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

1S450 Summit Ave
Ste 270
Oakbrook Terrace, IL 60181

Interoperability endpoints

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1164511580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609140095",
            "telephone_number": "815-802-0000",
            "fax_number": "815-935-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEADOWVIEW CTR",
            "address_2": "SUITE 200",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012047",
            "telephone_number": "815-802-0000",
            "fax_number": "815-935-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHEED",
        "first_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36116934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

Verify at the official NPI Registry.