Active NPI
Masood A Qazi, MD,FACC
- Cardiovascular Disease Physician
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036-048052
- Practice address
- 10837 S Cicero Ave Ste 200
Oak Lawn, IL 60453-6459 - Phone
- (708) 636-7575
- Fax
- (708) 636-6193
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036-048052 | IL | Primary |
Addresses
Primary practice location
10837 S Cicero Ave Ste 200
Oak Lawn, IL 60453-6459
Mailing address
10837 S Cicero Ave Ste 200
Oak Lawn, IL 60453-6459
Phone (708) 636-7575
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036048052 | Medicaid | IL | |
| 060053890 | Other | IL | PALMETTO GBA INDIVIDUAL # |
| CI8250 | Other | IL | PALMETTO GBA GROUP # |
| 21622931 | Other | IL | BCBS GROUP # |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mqazi207332@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10837 S Cicero Ave
Suite 300
Oak Lawn, IL 60453-6459
Phone (708) 636-7575
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
Hospital & facility affiliations
- Advocate Christ Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-048052 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Midamerica Cardiovascular Consultants, LTD | Cardiovascular Disease | Past | Accepting new patients |
Locations
595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944
135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100
10837 S Cicero Ave
Ste 200
Oak Lawn, IL 60453
Phone (708) 346-7297
4400 W 95th St
Ste 407409
Oak Lawn, IL 60453
Phone (708) 684-5735
4400 W 95th St
Ste 409
Oak Lawn, IL 60453
12400 S Harlem Ave
Ste 110
Palos Heights, IL 60463
Phone (312) 563-9389
Interoperability endpoints
- mqazi207332@direct.myadvocateaurora.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Cardiovascular Disease Physician
- Oak Lawn, IL
- NPI 1528165768
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1376537357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10837 S CICERO AVE STE 200",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604536459",
"telephone_number": "708-636-7575",
"fax_number": "708-636-6193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10837 S CICERO AVE STE 200",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604536459",
"telephone_number": "708-636-7575",
"fax_number": "708-636-6193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QAZI",
"first_name": "MASOOD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD,FACC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036-048052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036048052",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA INDIVIDUAL #",
"identifier": "060053890",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA GROUP #",
"identifier": "CI8250",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "21622931",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mqazi207332@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10837 S Cicero Ave Ste 200",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604536459",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "10837 S Cicero Ave Ste 200",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604536459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.