Active NPI
Rizwan K Moinuddin, DO
- Nephrology Physician
- Melrose Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 036114326
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036114326 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Usrc Oak Brook Dialysis
- FMC - South Suburban
- Usrc - Aht Downers Grove
- Vitality Home Therapies Inc
- DaVita Woodridge Home Dialysis PD
- Advocate Good Samaritan Hospital
- Uchicago Medicine Adventhealth Bolingbrook
- Community First Medical Center
- Franciscan Health Olympia & Chicago Heights
- Uchicago Medicine Adventhealth Hinsdale
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympia Fields Eyecare, LTD. | Past | Accepting new patients | |
| Vascular Access Centers of Illinois at Morgan Park, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Nephrology Physician
- Chicago, IL
- NPI 1184694259
-
- Ophthalmology Physician
- Flossmoor, IL
- NPI 1598762007
-
- Ambulatory Surgical Clinic/Center
- Chicago, IL
- NPI 1689163875
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba RCG South Suburban
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Olympia Fields, IL
- NPI 1144251158
Dialysis facility
-
dba Vitality Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- South Barrington, IL
- NPI 1255174777
Dialysis facility
-
dba Adventhealth Bolingbrook
- General Acute Care Hospital
- Bolingbrook, IL
- NPI 1164530465
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
dba Adventhealth Hinsdale
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
-
dba Community First Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1033214416
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.