Individual provider Active NPI

Rashid Fuad Kysia, MD

  • Emergency Medicine Physician
  • Peoria, IL
National Provider Identifier
1225141005
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-113-214 Issued in IL
Practice address
530 NE Glen Oak Ave
Peoria, IL 61637-5713
Phone
(309) 655-2553
Fax
(309) 655-2602
NPI assigned
Aug 16, 2006
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-113-214 IL Primary

Addresses

Primary practice location

530 NE Glen Oak Ave
Peoria, IL 61637-5713

Mailing address

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2553

Other practice location 1

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2553

Other practice location 2

3626 S King Dr Apt 3
Chicago, IL 60653-1112
Phone (773) 633-8942

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
I20051228000089 IL Practitioner - Emergency Medicine 4183646698 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

2320 E 93Rd St
Chicago, IL 60617-3909
Phone (773) 967-3999

500 E 51St St
Chicago, IL 60615-2494
Phone (312) 572-2000

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-113-214ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Apr 1, 2023 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Mar 12, 2020 Accepting new patients
Insight Chicago, Inc. CurrentSince Nov 2, 2021 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Mar 1, 2023 Accepting new patients
Harvey Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 9, 2019 Accepting new patients
Crawford Hospital District CurrentSince Jan 10, 2023 Accepting new patients
Crawford Hospital District CurrentSince Jan 10, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Mar 1, 2023 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Oct 4, 2022 Accepting new patients
Carle West Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 1, 2015 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Cook County Current Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Oct 4, 2022 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 1, 2015 Accepting new patients
Cook County Emergency Medicine CurrentSince Mar 28, 2017 Accepting new patients
Cook County CurrentSince Mar 28, 2017 Accepting new patients
Crawford Hospital District Current Accepting new patients
Community First Healthcare of Illinois, Inc. Emergency Medicine Current Accepting new patients
Insight Chicago, Inc. CurrentSince Nov 2, 2021 Accepting new patients
Mea Chicago PC Emergency Medicine CurrentSince Feb 15, 2020 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 30, 2024 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Mar 12, 2020 Accepting new patients
Unimed, LTD Past Accepting new patients
Emergency Room Care Providers, S.C. Emergency Medicine PastSince Jul 25, 2019 Accepting new patients
Emergency Care Physician Services Emergency Medicine Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1600 Torrence Ave
Calumet City, IL 60409
Phone (708) 730-1300

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1900 W Polk St
Rm G16
Chicago, IL 60612

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

2320 E 93rd St
Chicago, IL 60617
Phone (773) 967-2000

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

29373 Network Pl
Chicago, IL 60673

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

800 E Locust St
Olney, IL 62450
Phone (618) 395-2131

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

Interoperability endpoints

  • Direct secure messaging: rkysia@direct.ccprovider.org
  • Direct secure messaging: rkysia205137@direct.myadvocateaurora.org
  • Direct secure messaging: rkysiamd322978@carlehiedirect.net

Organizations & group practices 27

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

View all 27

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1225141005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-655-2553",
            "fax_number": "309-655-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616375713",
            "telephone_number": "309-655-2553",
            "fax_number": "309-655-2602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 NE Glen Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616370001",
            "country_code": "US",
            "telephone_number": "309-655-2553",
            "fax_number": "309-655-2602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3626 S King Dr Apt 3",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606531112",
            "country_code": "US",
            "telephone_number": "773-633-8942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYSIA",
        "first_name": "RASHID",
        "middle_name": "FUAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-113-214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.