Individual provider Active NPI

Farhan Zaidi, MD

  • Pulmonary Disease Physician
  • Park Ridge, IL
National Provider Identifier
1508095605
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036134427 Issued in IL
Practice address
444 N Northwest Hwy Ste 206
Park Ridge, IL 60068
Phone
(847) 653-6184
Fax
(847) 696-7932
NPI assigned
Jul 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036134427 IL Primary

Addresses

Primary practice location

444 N Northwest Hwy Ste 206
Park Ridge, IL 60068

Mailing address

444 N Northwest Hwy Ste 206
Park Ridge, IL 60068-3271
Phone (847) 653-6184

Other practice location 1

675 W North Ave
Melrose Park, IL 60160-1630
Phone (708) 450-4557

Other identifiers 2

IdentifierTypeStateIssuer
363391284OtherILTAX ID
036134427MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140926001800 IL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9436315165 Reassigns benefits to 1 organization
I20210927000805 IN Practitioner - Pulmonary Disease 9436315165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Albert Einstein College of Medicine of Yeshiva University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Home Physicians LLCGroup PAC ID 4981988771, 81 clinicians
Layous LLCGroup PAC ID 0143537308, 4 clinicians

Practice addresses (Care Compare)

1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

10215 Broadway
Suite 202
Crown Point, IN 46307-8001
Phone (219) 595-5754

501 45TH St
Munster, IN 46321-5754
Phone (219) 595-5754

Hospital & facility affiliations

  • Community Hospital Hospital, Munster, IN, CCN 150125
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Layous LLC CurrentSince Sep 22, 2021 Accepting new patients
Community Care Network Inc Past Accepting new patients
Elmhurst Memorial Healthcare Past Accepting new patients

Locations

501 45th St
Munster, IN 46321
Phone (219) 513-8923

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1508095605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY STE 206",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683271",
            "telephone_number": "847-653-6184",
            "fax_number": "847-696-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY STE 206",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-653-6184",
            "fax_number": "847-696-7932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Melrose Park",
            "state": "IL",
            "postal_code": "601601630",
            "country_code": "US",
            "telephone_number": "708-450-4557",
            "fax_number": "708-338-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAIDI",
        "first_name": "FARHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036134427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "363391284",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036134427",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.