Individual provider Active NPI

Daud Rashidi

  • Medical Physician Assistant
  • Highland, IN
National Provider Identifier
1316996077
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3100 45TH St
Suite 3
Highland, IN 46322-3289
Phone
(219) 922-6911
Fax
(219) 922-6968
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1000521A IN
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3100 45TH St
Suite 3
Highland, IN 46322-3289

Mailing address

3100 45TH St
Suite 3
Highland, IN 46322-3289
Phone (219) 922-6911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1000521AINMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Clinic of Northwest Indiana Inc CurrentSince Feb 18, 2015 Accepting new patients
The Methodist Hospitals, Inc Past Accepting new patients

Locations

10660 W 143rd St
Ste B
Orland Park, IL 60462
Phone (312) 349-0055

2834 Highway Ave
Ste 1
Highland, IN 46322
Phone (219) 838-0066

Organizations & group practices 2

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1316996077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 45TH ST",
            "address_2": "SUITE 3",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223289",
            "telephone_number": "219-922-6911",
            "fax_number": "219-922-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 45TH ST",
            "address_2": "SUITE 3",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223289",
            "telephone_number": "219-922-6911",
            "fax_number": "219-922-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHIDI",
        "first_name": "DAUD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "1000521A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.