Mohammed Nasaruddin, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036-159905 Issued in IL

Practice address

3825 Highland Ave Ste 210
Downers Grove, IL 60515-1561

Phone

(630) 275-5900

NPI assigned

Jun 18, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL, WI, AZ, MN, MI, WA, TN, OH, GA9 enrollments

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 9

Specialty

Nephrology

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rural Physicians Group-Pannu PLLC 141 clinicians

Olmsted Medical Center 324 clinicians

Dupage Medical Group LTD 1,326 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Woodridge Home Dialysis PD Dialysis facility, Woodridge, IL, CCN 142696
• Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
• Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
• Edward Hospital Hospital, Naperville, IL, CCN 140231
• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Olmsted Medical Center

  • Clinic/Center
  • Rochester, MN
  • NPI 1952356297

  MN

  Medicare reassignment Care Compare group NPD
• Rural Physicians Group-Pannu PLLC

  • Hospitalist Physician
  • Greenwood Village, CO
  • NPI 1861808719

  Internal Medicine, MN

  Medicare reassignment Care Compare group NPD
• Rural Physicians Group-Pannu PLLC

  • Hospitalist Physician
  • Greenwood Village, CO
  • NPI 1891236584

  AZ, GA, Internal Medicine, MI, OH, TN, WA, WI

  Medicare reassignment Care Compare group NPD
• Dupage Medical Group LTD

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1801833983

  IL

  Medicare reassignment NPD
• Olmsted Medical Center

  • General Acute Care Hospital
  • Rochester, MN
  • NPI 1538112131
  Care Compare group NPD
• Sheridan Community Hospital

  • Emergency Medicine Physician
  • Sheridan, MI
  • NPI 1528090594

  MI

  Medicare reassignment
• Olmsted Medical Center

  • Ambulatory Surgical Clinic/Center
  • Owatonna, MN
  • NPI 1851197859
  Care Compare group
• Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Glen Ellyn, IL
  • NPI 1760979447
  NPD
• Sheridan Community Hospital

  • Rural Health Clinic/Center
  • Sheridan, MI
  • NPI 1740372754
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Downers Grove, IL
  • NPI 1578670543

  Hospital

  Care Compare affiliation
• Central Dupage Hospital Association

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810

  Hospital

  Care Compare affiliation
• Central Dupage Hospital Association

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895

  Hospital

  Care Compare affiliation
• Edward Hospital

  • General Acute Care Hospital
  • Naperville, IL
  • NPI 1427069632

  Hospital

  Care Compare affiliation
• Elmhurst Memorial Hospital

  • General Acute Care Hospital
  • Elmhurst, IL
  • NPI 1548306343

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1487184875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE STE 210",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151561",
            "telephone_number": "630-275-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4309 W Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600508419",
            "country_code": "US",
            "telephone_number": "815-759-4726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 S Apple Blossom Dr",
            "address_purpose": "LOCATION",
            "city": "Chelan",
            "state": "WA",
            "postal_code": "988168810",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Richland Center",
            "state": "WI",
            "postal_code": "535811914",
            "country_code": "US",
            "telephone_number": "608-647-6321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559044717",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Rose Ln",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853901447",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "MI",
            "postal_code": "488849235",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Sunrise Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560825376",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "773-702-3630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Alder St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "WA",
            "postal_code": "985864900",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Bogachiel Way",
            "address_purpose": "LOCATION",
            "city": "Forks",
            "state": "WA",
            "postal_code": "983319120",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASARUDDIN",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "125071091",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "72136",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125071091",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD70053543",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036-159905",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "EMC0008143",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "75743",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "3766-320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnasaruddin249609@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3825 Highland Ave Ste 210",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nancy a. Congdon, M.S., P.C.
• Nani Internal Med Aco, LLC
• Karl Michael Napekoski, M.D.
• Naper Grove Vision Care, P.C.
• Ramya Narayanan, M.D.
• Alexandra Nicole Nash, DMD
• Nisha Nayak, NP
• Emily Nayes, M.A., CCC-SLP
• Geoffrey Needleman
• Mae Alyssa Loudette Negado, RPH

• All providers in Downers Grove, IL
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.

Verify at the official NPI Registry.