Individual provider Active NPI

Sarwar Husain, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1215005822
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036081914 Issued in IL
Practice address
7447 W Talcott Ave
Suite 415
Chicago, IL 60631-3745
Phone
(773) 763-3808
Fax
(773) 774-3739
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036081914 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave
Suite 415
Chicago, IL 60631-3745

Mailing address

7447 W Talcott Ave
Suite 415
Chicago, IL 60631-3745
Phone (773) 763-3808

Other identifiers 1

IdentifierTypeStateIssuer
036081914MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090422000281 IL Practitioner - Internal Medicine 6002963469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talcott Primary Care LLCGroup PAC ID 8123175585, 4 clinicians

Practice addresses (Care Compare)

7447 W Talcott Ave
Suite 409
Chicago, IL 60631-3715
Phone (773) 763-3808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036081914ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Talcott Primary Care LLC CurrentSince Apr 1, 2009 Accepting new patients

Locations

7447 W Talcott Ave
Ste 415
Chicago, IL 60631
Phone (773) 763-3808

7447 W Talcott Ave
Ste 409415
Chicago, IL 60631
Phone (773) 763-3808

7447 W Talcott Ave
Ste 409
Chicago, IL 60631
Phone (773) 763-3808

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14003/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sarwar.husain.1@14003.direct.athenahealth.com

Organizations & group practices 1

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 4

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1215005822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 415",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-763-3808",
            "fax_number": "773-774-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 415",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-763-3808",
            "fax_number": "773-774-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "SARWAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036081914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081914",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.