Individual provider Active NPI

Yaser Sajid Hosain, DO

  • Hospitalist Physician
  • Evanston, IL
National Provider Identifier
1417334087
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036150695 Issued in IL
Practice address
2650 Ridge Ave.
Im Hospitalists Ste 4210
Evanston, IL 60201
Phone
(847) 570-1010
Fax
(847) 733-5108
NPI assigned
May 2, 2015
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036150695 IL
Internal Medicine Physician 207R00000X 69533 WI
Hospitalist Physician 208M00000X 69533 WI
Hospitalist Physician 208M00000X 036150695 IL Primary

Addresses

Primary practice location

2650 Ridge Ave.
Im Hospitalists Ste 4210
Evanston, IL 60201

Mailing address

2650 Ridge Ave.
Im Hospitalists Ste 4210
Evanston, IL 60201
Phone (847) 570-1010

Other practice location 1

9600 Gross Point Rd
Skokie, IL 60076-1214
Phone (847) 933-6410

Other practice location 2

777 Park Ave. West
IM Hospitalists
Highland Park, IL 60035
Phone (847) 926-5840

Other practice location 3

2100 Pfingsten Rd Ste 3001A
Glenview, IL 60026-1301
Phone (847) 657-5840

Other identifiers 1

IdentifierTypeStateIssuer
100080705MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190920002205 IL Practitioner - HospitalistPractitioner - Internal Medicine 6901191048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1300 Oak Ave
Evanston, IL 60201-4205
Phone (847) 869-1300

2100 Pfingsten Rd
Glenview, IL 60026-1301

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036150695ILMDInternal Medicine Physician
69533WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Sep 12, 2019 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Sep 12, 2019 Accepting new patients
University of Chicago Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 4210
Evanston, IL 60201
Phone (847) 570-1010

2100 Pfingsten Rd
Ste 3001A
Glenview, IL 60026
Phone (847) 657-5840

777 Park Ave W
Highland Park, IL 60035
Phone (847) 480-3744

9600 Gross Point Rd
Skokie, IL 60076
Phone (847) 677-9600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1430524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1417334087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE.",
            "address_2": "IM HOSPITALISTS STE 4210",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-570-1010",
            "fax_number": "847-733-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE.",
            "address_2": "IM HOSPITALISTS STE 4210",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-570-1010",
            "fax_number": "847-733-5108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 Gross Point Rd",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600761214",
            "country_code": "US",
            "telephone_number": "847-933-6410",
            "fax_number": "847-933-6411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Park Ave. West",
            "address_2": "IM Hospitalists",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "60035",
            "country_code": "US",
            "telephone_number": "847-926-5840",
            "fax_number": "847-926-5835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Pfingsten Rd Ste 3001A",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600261301",
            "country_code": "US",
            "telephone_number": "847-657-5840",
            "fax_number": "847-657-5732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSAIN",
        "first_name": "YASER",
        "middle_name": "SAJID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-02",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036150695",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "69533",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "69533",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036150695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080705",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.