Active NPI
Kashif S. Haque, M.D.
- Internal Medicine Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36115385
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036115385 | Other | IL | LICENSE |
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
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 W High St
Morris, IL 60450-1463
Phone (815) 942-2932
Hospital & facility affiliations
- Morris Hospital & Healthcare Centers
- Silver Cross Hospital and Medical Centers
- Loyola University Medical Center
- Osf Saint Elizabeth MDL Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44894 | CO | MD | Internal Medicine Physician |
| 36115385 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Advocate Health & Hospitals Corp. | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Internal Medicine | Current | Accepting new patients |
| Carle Health Care Incorporated | Internal Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Proctor Health Systems | Internal Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Pekin Prohealth Inc | Internal Medicine | Current | Accepting new patients |
| Philippe G Lopez MD PC | Past | Accepting new patients | |
| M & F Medical Services, LTD | Past | Accepting new patients | |
| Critical Care & Pulmonary Consultants, PC | Past | Accepting new patients | |
| Mobile Physicians Inc | Past | 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
- 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.
-
- General Practice Physician
- Morris, IL
- NPI 1558466268
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
IL, Internal Medicine
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1750315545
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
-
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.