Individual provider Active NPI

Zehra S Kanji-Ghaziani

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1295366862
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.020560 Issued in IL
Practice address
4177 S Archer Ave # 60632
Chicago, IL 60632-1849
Phone
(773) 254-2222
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.020560 IL Primary

Addresses

Primary practice location

4177 S Archer Ave # 60632
Chicago, IL 60632-1849

Mailing address

4177 S Archer Ave
Chicago, IL 60632-1849

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325001371 IL Practitioner - Nurse Practitioner 1254769292 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.020560ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Jul 11, 2022 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Feb 13, 2020 Accepting new patients
Access Community Health Network CurrentSince Jul 11, 2022 Accepting new patients
Access Community Health Network Current Accepting new patients
Saint Anthony Hospital CurrentSince Feb 13, 2020 Accepting new patients
Access Community Health Network Past Accepting new patients

Locations

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

1555 W Howard St
Chicago, IL 60626
Phone (773) 764-7146

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

Interoperability endpoints

  • Direct secure messaging: zkanjighaziani21847@direct.achn.net

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1295366862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4177 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606321849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4177 S ARCHER AVE # 60632",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606321849",
            "telephone_number": "773-254-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANJI-GHAZIANI",
        "first_name": "ZEHRA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.