Individual provider Active NPI

Omar Minhaj Uddin, MD

  • Vascular & Interventional Radiology Physician
  • Chicago, IL
National Provider Identifier
1366833204
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036153234 Issued in IL
Practice address
1725 W Harrison St Ste 450
Chicago, IL 60612
Phone
(312) 942-4184
Fax
(312) 942-7244
NPI assigned
Feb 13, 2015
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036153234 IL
Vascular & Interventional Radiology Physician 2085R0204X 036153234 IL Primary
Vascular & Interventional Radiology Physician 2085R0204X 125.072711 IL

Addresses

Primary practice location

1725 W Harrison St Ste 450
Chicago, IL 60612

Mailing address

1725 W Harrison St Ste 450
Chicago, IL 60612-4828
Phone (312) 942-4184

Other practice location 1

1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 413-4900

Other practice location 2

534 Roxbury Rd
Rockford, IL 61107-5076
Phone (847) 584-3959

Other practice location 3

1870 W Winchester Rd Ste 146
Libertyville, IL 60048-5359
Phone (847) 584-3959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 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
I20230809003159 WI Practitioner - Interventional Radiology 2769733393 Reassigns benefits to 1 organization
I20241120000553 IL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2769733393 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians
Howard Simon MD PLLCGroup PAC ID 7214369966, 61 clinicians
Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians
Resilience Healthcare - Lakefront Medical Associates LLCGroup PAC ID 5991046468, 37 clinicians
Froedtert South IncGroup PAC ID 9537071196, 158 clinicians

Practice addresses (Care Compare)

1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400

1740 W Taylor St
Mc931
Chicago, IL 60612-7232
Phone (312) 355-5258

20530 N Rand Rd
350 Simonmed Imaging Deer Park
Deer Park, IL 60010-7238
Phone (847) 550-6740

2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-4425

3 Eire CT
Oak Park, IL 60302-2519
Phone (773) 564-5102

7711 W 159TH St
100 Simonmed Imaging Tinley Park
Tinley Park, IL 60477-1336
Phone (708) 444-2101

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
69.39
Promoting interoperability
100
Improvement activities
40
Cost
74.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036153234ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Dec 16, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Diagnostic Radiology CurrentSince Dec 16, 2024 Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince Oct 1, 2024 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Dec 1, 2024 Accepting new patients
Swedishamerican Hospital CurrentSince Mar 25, 2025 Accepting new patients
Swedishamerican Hospital CurrentSince Mar 25, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Biotech X-Ray Inc CurrentSince Jan 15, 2026 Accepting new patients
Froedtert South, Inc. CurrentSince Aug 21, 2023 Accepting new patients
Cook County Current Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Sep 21, 2025 Accepting new patients
Cook County Diagnostic Radiology CurrentSince Nov 13, 2024 Accepting new patients
Cook County CurrentSince Nov 13, 2024 Accepting new patients
Saint Anthony Health Affiliates Vascular & Interventional Radiology CurrentSince Dec 1, 2024 Accepting new patients
Swedishamerican Hospital Current Accepting new patients
Froedtert South, Inc. Past Accepting new patients

Locations

1725 W Harrison St
Ste 450
Chicago, IL 60612
Phone (312) 563-4238

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

1740 W Taylor St
#931
Chicago, IL 60612
Phone (312) 355-5258

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

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

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

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

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

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

20530 N Rand Rd
Ste 350
Deer Park, IL 60010
Phone (847) 550-6740

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

9697 Saint Catherines Dr
Ste 101
Pleasant Prairie, WI 53158
Phone (262) 653-5330

Interoperability endpoints

  • Direct secure messaging: ouddin633979@direct.froedtert.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 10

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": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1366833204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124828",
            "telephone_number": "312-942-4184",
            "fax_number": "312-942-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-942-4184",
            "fax_number": "312-942-7244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "312-413-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "534 Roxbury Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611075076",
            "country_code": "US",
            "telephone_number": "847-584-3959",
            "fax_number": "847-584-3522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1870 W Winchester Rd Ste 146",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485359",
            "country_code": "US",
            "telephone_number": "847-584-3959",
            "fax_number": "847-584-3522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "OMAR",
        "middle_name": "MINHAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-13",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036153234",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036153234",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "125.072711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.