Individual provider Active NPI

Zoha Najam Waris, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1235581034
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D90743 Issued in MD
Practice address
7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone
(773) 947-7313
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X D90743 MD Primary
Family Medicine Physician 207Q00000X 125.068669 IL

Addresses

Primary practice location

7531 S Stony Island Ave
Chicago, IL 60649-3954

Mailing address

12116 Darnestown Rd
Ste L5
Gaithersburg, MD 20878-2227
Phone (773) 947-7313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20211020000008 DC Practitioner - Family Practice 6709274061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madhavi Hubbly MDGroup PAC ID 4688992167, 2 clinicians

Practice addresses (Care Compare)

12116 Darnestown Rd
L5
Gaithersburg, MD 20878-2227
Phone (301) 528-4134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.068669ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madhavi Hubbly MD Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12116 Darnestown Rd
#L5
Gaithersburg, MD 20878
Phone (301) 528-4134

12116 Darnestown Rd
Ste L5
Gaithersburg, MD 20878
Phone (301) 528-4134

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1235581034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12116 DARNESTOWN RD",
            "address_2": "STE L5",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782227",
            "telephone_number": "773-947-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493954",
            "telephone_number": "773-947-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARIS",
        "first_name": "ZOHA",
        "middle_name": "NAJAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D90743",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.068669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.