Individual provider Active NPI

Asif N Daud, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1497872766
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036118612 Issued in IL
Practice address
9119 S Exchange Ave
Chicago, IL 60617
Phone
(773) 768-5000
Fax
(773) 978-8367
NPI assigned
Mar 23, 2007
Last updated
Jun 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036118612 IL Primary

Addresses

Primary practice location

9119 S Exchange Ave
Chicago, IL 60617

Mailing address

9119 S Exchange Ave
Chicago, IL 60617-4225
Phone (773) 768-5000

Other practice location 1

2450 Glenwood Ave
Joliet, IL 60435-5463
Phone (815) 730-3304

Other identifiers 1

IdentifierTypeStateIssuer
036118612MedicaidIL

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
I20080519000760 IL Practitioner - Family Practice 3375612211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicago Family Health Center IncGroup PAC ID 6608765417, 27 clinicians

Practice addresses (Care Compare)

9119 S Exchange Ave
Chicago, IL 60617-4225
Phone (773) 768-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Family Health Center, Inc. CurrentSince Jun 25, 2018 Accepting new patients
Friedell Clinic, S. C. Family Medicine CurrentSince Feb 1, 2012 Accepting new patients
Chicago Family Health Center Inc CurrentSince Jun 25, 2018 Accepting new patients
Carl B Toren MD Past Accepting new patients
Rajiv Kandala M D S C Family Medicine PastSince Jun 27, 2021 Accepting new patients
Southside Primary Care Group SC Family Medicine PastSince Feb 11, 2024 Accepting new patients
Complete Family Healthcare LTD Family Medicine PastSince May 1, 2013 Accepting new patients

Locations

120 W 111th St
Chicago, IL 60628

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
Ste 164
Chicago, IL 60649
Phone (773) 947-2831

9119 S Exchange Ave
Chicago, IL 60617

Interoperability endpoints

  • Direct secure messaging: asif.daud.1@18277.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21705/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1497872766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 S EXCHANGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174225",
            "telephone_number": "773-768-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 S EXCHANGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60617",
            "telephone_number": "773-768-5000",
            "fax_number": "773-978-8367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Glenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604355463",
            "country_code": "US",
            "telephone_number": "815-730-3304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUD",
        "first_name": "ASIF",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036118612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118612",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.