Organization Active NPI

Hameedk MD SC

  • Internal Medicine Physician
  • Elk Grove Village, IL
National Provider Identifier
1427222876
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HAMEEDK MD SC
Practice address
901 Biesterfield Rd
Suite 111
Elk Grove Village, IL 60007-3392
Phone
(847) 439-7284
Fax
(847) 439-0504
NPI assigned
Apr 16, 2008
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Dr. Hameeduddin Khaja, MDNPI 1528079886
Title
President
Phone
(847) 439-7284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

901 Biesterfield Rd
Suite 111
Elk Grove Village, IL 60007-3392

Mailing address

901 Biesterfield Rd
Suite 111
Elk Grove Village, IL 60007-3392
Phone (847) 439-7284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080627000154 IL Part B Supplier - Clinic/Group Practice 4284706763 Receives reassigned benefits from 1 practitioner
Practice locations: Elk Grove Village, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1427222876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD",
            "address_2": "SUITE 111",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073392",
            "telephone_number": "847-439-7284",
            "fax_number": "847-439-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD",
            "address_2": "SUITE 111",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073392",
            "telephone_number": "847-439-7284",
            "fax_number": "847-439-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMEEDK MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "KHAJA",
        "authorized_official_first_name": "HAMEEDUDDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-439-7284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.