Active NPI
Jamaal Abdul Rehman, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036148785
- Practice address
- 4201 W Medical Center Dr Ste 110
McHenry, IL 60050-8409 - Phone
- (815) 759-4806
- Fax
- (815) 759-4867
- NPI assigned
- Jun 3, 2016
- Last updated
- Jul 9, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 125068204 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036148785 | IL | Primary |
Addresses
Primary practice location
4201 W Medical Center Dr Ste 110
McHenry, IL 60050-8409
Mailing address
4201 W Medical Center Dr Ste 110
McHenry, IL 60050-8409
Phone (815) 759-4806
Other practice location 1
2650 Ridge Ave
Suite 1304
Evanston, IL 60201-1718
Phone (217) 721-0797
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
- Pathology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10400 Haligus Rd
Huntley, IL 60142-9553
4201 W Medical Ctr Dr
McHenry, IL 60050-8409
Phone (815) 759-4323
4309 W Medical Ctr Dr
Suite A200
McHenry, IL 60050-8437
Phone (815) 759-8070
515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
- Northwestern Medicine McHenry
- Northwestern Medicine Central Dupage Hospital
- Northwestern Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Lab 3 Inc | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
820 E Terra Cotta Ave
Ste 216
Crystal Lake, IL 60014
Phone (224) 817-4973
2650 Ridge Ave
Ste 1304
Evanston, IL 60201
Phone (847) 570-2700
1800 McDonough Rd
Ste 209
Hoffman Estates, IL 60192
Phone (224) 238-3816
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
4201 W Medical Center Dr
Ste 110
McHenry, IL 60050
Phone (815) 759-4806
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
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.
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Clinical Medical Laboratory
- Hoffman Estates, IL
- NPI 1073267795
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Centegra Hospital McHenry
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1457709172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 W MEDICAL CENTER DR STE 110",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508409",
"telephone_number": "815-759-4806",
"fax_number": "815-759-4867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 W MEDICAL CENTER DR STE 110",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508409",
"telephone_number": "815-759-4806",
"fax_number": "815-759-4867"
}
],
"practiceLocations": [
{
"address_1": "2650 Ridge Ave",
"address_2": "Suite 1304",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602011718",
"country_code": "US",
"telephone_number": "217-721-0797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REHMAN",
"first_name": "JAMAAL",
"middle_name": "ABDUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-03",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "125068204",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036148785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.