Individual provider Active NPI

Rizwan K Moinuddin, DO

  • Nephrology Physician
  • Melrose Park, IL
National Provider Identifier
1275568578
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036114326 Issued in IL
Practice address
675 W North Ave Ste 309
Melrose Park, IL 60160-1623
Phone
(312) 654-2744
Fax
(312) 651-4419
NPI assigned
Jul 12, 2006
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036114326 IL Primary

Addresses

Primary practice location

675 W North Ave Ste 309
Melrose Park, IL 60160-1623

Mailing address

210 S Des Plaines
Chicago, IL 60661-5500
Phone (312) 654-2721

Other identifiers 1

IdentifierTypeStateIssuer
036114326MedicaidIL

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
I20091006000359 IL Practitioner - NephrologyPractitioner - Internal Medicine 3274631627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Nephrology SCGroup PAC ID 9133023963, 52 clinicians

Practice addresses (Care Compare)

15 Independence Dr
Chicago Heights, IL 60411-4198
Phone (312) 654-2736

2609 W Lincoln Hwy
Olympia Fields, IL 60461-1801
Phone (708) 747-0050

3435 W Van Buren St
Chicago, IL 60624-3312
Phone (773) 826-7283

5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000

7530 Woodward Ave
Woodridge, IL 60517-3100
Phone (708) 625-4132

805 S Main St
Lombard, IL 60148-3300
Phone (708) 625-4132

825 W 35TH St
Chicago, IL 60609-1511
Phone (312) 654-2744

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Fields Eyecare, LTD. Past Accepting new patients
Vascular Access Centers of Illinois at Morgan Park, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rmoinuddin18522@direct.acumenmd.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1275568578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S DES PLAINES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615500",
            "telephone_number": "312-654-2721",
            "fax_number": "866-954-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE STE 309",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601623",
            "telephone_number": "312-654-2744",
            "fax_number": "312-651-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINUDDIN",
        "first_name": "RIZWAN",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036114326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114326",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.