Individual provider Active NPI

Muhammad O Nasib, MD

  • Specialist
  • Hinsdale, IL
National Provider Identifier
1295746030
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
7 Salt Creek LN
Suite 206
Hinsdale, IL 60521-2927
Phone
(630) 850-2120
Fax
(630) 850-2123
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X IL Primary

Addresses

Primary practice location

7 Salt Creek LN
Suite 206
Hinsdale, IL 60521-2927

Mailing address

7 Salt Creek LN
Suite 206
Hinsdale, IL 60521-2927
Phone (630) 850-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019000280 IL Practitioner - Psychiatry 2668432121 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036097047ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hinsdale Behavioral Health Clinic CurrentSince Jul 24, 2010 Accepting new patients
Salt Creek Therapy Center Past Accepting new patients
Riverside Psychiatric & Counseling P C Past Accepting new patients

Locations

201 E Ogden Ave
Ste 220
Hinsdale, IL 60521
Phone (630) 892-0417

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295746030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SALT CREEK LN",
            "address_2": "SUITE 206",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212927",
            "telephone_number": "630-850-2120",
            "fax_number": "630-850-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SALT CREEK LN",
            "address_2": "SUITE 206",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212927",
            "telephone_number": "630-850-2120",
            "fax_number": "630-850-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASIB",
        "first_name": "MUHAMMAD",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.