Individual provider Active NPI

Fouzia Muhammedkarim, MD

  • Family Medicine Physician
  • Naperville, IL
National Provider Identifier
1508071309
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036126023 Issued in IL
Practice address
535 Fairway Dr
Suite #107
Naperville, IL 60563-3938
Phone
(857) 396-7630
Fax
(630) 995-3027
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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 036126023 IL Primary

Addresses

Primary practice location

535 Fairway Dr
Suite #107
Naperville, IL 60563-3938

Mailing address

535 Fairway Dr
Suite # 107
Naperville, IL 60563-3938
Phone (630) 857-3967

Other identifiers 2

IdentifierTypeStateIssuer
1508071309MedicaidIL
036126023MedicaidIL

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
I20120410000311 IL Practitioner - Family Practice 6608037197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

535 Fairway Dr
Suite 119
Naperville, IL 60563-3940
Phone (513) 432-2303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Urgent Care, Inc. CurrentSince Feb 2, 2012 Accepting new patients
Prime Immediate and Primary Care Incorporated Family Medicine CurrentSince Nov 1, 2013 Accepting new patients
Primeimmediateandprimarycare Current Accepting new patients

Locations

3535 E New York St
Ste 115
Aurora, IL 60504
Phone (630) 499-1900

535 Fairway Dr
Ste 119
Naperville, IL 60563
Phone (513) 432-2303

535 Fairway Dr
Ste 107
Naperville, IL 60563
Phone (630) 548-5936

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1508071309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 FAIRWAY DR",
            "address_2": "SUITE # 107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633938",
            "telephone_number": "630-857-3967",
            "fax_number": "630-995-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FAIRWAY DR",
            "address_2": "SUITE #107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633938",
            "telephone_number": "857-396-7630",
            "fax_number": "630-995-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMEDKARIM",
        "first_name": "FOUZIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036126023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508071309",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036126023",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.