Individual provider Active NPI

Kashif S. Haque, M.D.

  • Internal Medicine Physician
  • Peoria, IL
National Provider Identifier
1285679704
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36115385 Issued in IL
Practice address
221 NE Glen Oak Ave Ste W514
Peoria, IL 61636-4528
Phone
(309) 672-5729
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44894 CO
Internal Medicine Physician 207R00000X 36115385 IL Primary

Addresses

Primary practice location

221 NE Glen Oak Ave Ste W514
Peoria, IL 61636-4528

Mailing address

221 NE Glen Oak Ave Ste W514
Peoria, IL 61636-0001
Phone (309) 672-5729

Other practice location 1

875 South Route 31
Crystal Lake, IL 60014
Phone (772) 220-5500

Other identifiers 1

IdentifierTypeStateIssuer
036115385OtherILLICENSE

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
I20060726000078 IL Practitioner - Internal Medicine 3476566001 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

150 W High St
Morris, IL 60450-1463
Phone (815) 942-2932

Hospital & facility affiliations

  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276
  • Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44894COMDInternal Medicine Physician
36115385ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital CurrentSince Feb 26, 2024 Accepting new patients
Morris Hospital CurrentSince Feb 26, 2024 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince May 2, 2017 Accepting new patients
Carle West Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Morris Hospital Current Accepting new patients
Proctor Health Systems CurrentSince Jul 29, 2020 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jan 19, 2015 Accepting new patients
Mercy Health System Corporation CurrentSince Oct 22, 2023 Accepting new patients
Methodist Medical Center of Illinois Internal Medicine CurrentSince Jan 19, 2015 Accepting new patients
Carle Health Care Incorporated Internal Medicine CurrentSince Dec 28, 2025 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Internal Medicine CurrentSince May 19, 2022 Accepting new patients
Proctor Health Systems Internal Medicine Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 2, 2017 Accepting new patients
Mercy Health System Corporation CurrentSince Oct 22, 2023 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Proctor Health Systems CurrentSince Jul 29, 2020 Accepting new patients
Pekin Prohealth Inc Internal Medicine CurrentSince Feb 17, 2018 Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 Accepting new patients
M & F Medical Services, LTD Past Accepting new patients
Critical Care & Pulmonary Consultants, PC PastSince Jul 1, 2002 Accepting new patients
Mobile Physicians Inc PastSince Sep 1, 2007 Accepting new patients

Locations

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

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

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

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

29373 Network Pl
Chicago, IL 60673

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

150 W High St
Morris, IL 60450
Phone (815) 942-2129

725 School St
Ste A
Morris, IL 60450

621 W Jackson St
Morton, IL 61550
Phone (309) 263-4343

1300 Franklin Ave
Ste 380
Normal, IL 61761
Phone (309) 268-3589

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

815 Main St
Ste A1
Peoria, IL 61602

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030

221 NE Glen Oak Ave
Ste W514
Peoria, IL 61636
Phone (309) 671-5929

1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: khaquemd388413@carlehiedirect.net

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 6

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1285679704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NE GLEN OAK AVE STE W514",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616360001",
            "telephone_number": "309-672-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NE GLEN OAK AVE STE W514",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616364528",
            "telephone_number": "309-672-5729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 South Route 31",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "60014",
            "country_code": "US",
            "telephone_number": "772-220-5500",
            "fax_number": "815-356-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "KASHIF",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "44894",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36115385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036115385",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.