Active NPI
Zahidur Rahman, M. D.
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-096554
- Practice address
- 7531 S Stony Island Ave
Chicago, IL 60649-3954 - Phone
- (773) 947-7764
- Fax
- (773) 947-2820
- NPI assigned
- Jul 18, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-096554 | IL | Primary |
Addresses
Primary practice location
7531 S Stony Island Ave
Chicago, IL 60649-3954
Mailing address
7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-7764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-096554 | Medicaid | IL |
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
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 E 75TH St
FL 1
Chicago, IL 60649-3603
7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-7764
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-096554 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friedell Clinic, S. C. | Family Medicine | Current | Accepting new patients |
| Ranganathan T LTD | Current | Accepting new patients | |
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| Associates in Behavioral Science, LTD. | Past | Accepting new patients | |
| Metropolitan Behavioral Associates, Inc. | Past | Accepting new patients |
Locations
1625 E 75th St
Chicago, IL 60649
Phone (773) 947-2828
190 E Delaware Pl
Chicago, IL 60611
Phone (312) 944-0063
7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310
7531 S Stony Island Ave
#251
Chicago, IL 60649
555 Wilson Ln
Des Plaines, IL 60016
Phone (212) 243-5565
Interoperability endpoints
- zahidurrahman@jph.medalliesdirect.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Jackson Park Hospital and Medical Center | Hospital | Corporate Director | Jun 30, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
Corporate Director
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1306854021
-
- Psychiatry Physician
- Des Plaines, IL
- NPI 1396385415
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
-
dba Associates in Behavioral Science
- Clinical Psychologist
- Berwyn, IL
- NPI 1245459395
-
- Psychiatry Physician
- Chicago, IL
- NPI 1376039263
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417975293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7531 S STONY ISLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606493954",
"telephone_number": "773-947-7764",
"fax_number": "773-947-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7531 S STONY ISLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606493954",
"telephone_number": "773-947-7764",
"fax_number": "773-947-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHMAN",
"first_name": "ZAHIDUR",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-096554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-096554",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.