Active NPI
Nasreen Hamidani Internal Medicine PLLC
- Internal Medicine Physician
- Riverside, IL
National Provider Identifier
1215670229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NASREEN HAMIDANI INTERNAL MEDICINE PLLC
- Practice address
- 2910 Harlem Ave
Riverside, IL 60546-1785 - Phone
- (630) 935-3770
- NPI assigned
- Apr 18, 2022
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Nasreen Hamidani, MD
- Title
- Owner
- Phone
- (630) 935-3770
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- La Grange Highlands, IL
- NPI 1851483812
IL, Internal Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220519002503 | IL | Part B Supplier - Clinic/Group Practice | 0446637003 |
Receives reassigned benefits from 1 practitioner Practice locations: Riverside, IL |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2910 Harlem Ave
Riverside, IL 60546-1785
Mailing address
431 S Edgewood Ave
Wood Dale, IL 60191-2515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 22, 2024.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732233600000",
"number": "1215670229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 S EDGEWOOD AVE",
"city": "WOOD DALE",
"state": "IL",
"postal_code": "601912515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 HARLEM AVE",
"city": "RIVERSIDE",
"state": "IL",
"postal_code": "605461785",
"telephone_number": "630-935-3770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASREEN HAMIDANI INTERNAL MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-18",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A",
"authorized_official_last_name": "HAMIDANI",
"authorized_official_first_name": "NASREEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-935-3770",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.