Individual provider Active NPI

Syed Moazzam Najeeb, M.D

  • Hospitalist Physician
  • Galesburg, IL
National Provider Identifier
1295000677
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036136930 Issued in IL
Practice address
695 N Kellogg St
Galesburg, IL 61401-2807
Phone
(309) 343-7195
Fax
(309) 343-2074
NPI assigned
Mar 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036136930 IL Primary

Addresses

Primary practice location

695 N Kellogg St
Galesburg, IL 61401-2807

Mailing address

695 N Kellogg St
Galesburg, IL 61401-2807
Phone (309) 343-7195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150623000829 IL Practitioner - Emergency MedicinePractitioner - Internal Medicine 4183935802 Reassigns benefits to 2 organizations
I20160523002534 IN Practitioner - Internal Medicine 4183935802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physician Partners PCGroup PAC ID 1557613130, 31 clinicians

Practice addresses (Care Compare)

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 942-0551

Hospital & facility affiliations

  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036136930ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince May 13, 2023 Accepting new patients
Sound Physicians of Illinois, LLC Hospitalist CurrentSince May 19, 2015 Accepting new patients
Cook County Hospitalist CurrentSince May 13, 2023 Accepting new patients
Cook County Current Accepting new patients
24 On Physician Partners, PC Hospitalist CurrentSince Sep 1, 2018 Accepting new patients

Locations

318 Maxwell Rd
Ste 500
Alpharetta, GA 30009
Phone (770) 274-0473

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1332028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1295000677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 N KELLOGG ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012807",
            "telephone_number": "309-343-7195",
            "fax_number": "309-343-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N KELLOGG ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012807",
            "telephone_number": "309-343-7195",
            "fax_number": "309-343-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJEEB",
        "first_name": "SYED",
        "middle_name": "MOAZZAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-18",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036136930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.