Active NPI
Sabiha Thaseen, M.D.
- Internal Medicine Physician
- Cicero, IL
National Provider Identifier
1508900168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-092253
- Practice address
- 5535 W Cermak Rd Ste a
Cicero, IL 60804-2218 - Phone
- (708) 780-7705
- Fax
- (708) 780-7795
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-092253 | IL | Primary |
Addresses
Primary practice location
5535 W Cermak Rd Ste a
Cicero, IL 60804-2218
Mailing address
5535 W Cermak Rd Ste a
Cicero, IL 60804-2218
Phone (708) 780-7705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01622612 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036092253 | Medicaid | IL |
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
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5535 W Cermak Rd
Suite a
Cicero, IL 60804-2218
Phone (708) 780-7705
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-092253 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sana & Saba Medical Center LTD. | Single Specialty | Current | Accepting new patients |
Locations
5535 W Cermak Rd
#A
Cicero, IL 60804
5535 W Cermak Rd
Ste A
Cicero, IL 60804
Phone (708) 780-7705
Organizations & group practices 1
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": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496880000000",
"number": "1508900168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5535 W CERMAK RD STE A",
"city": "CICERO",
"state": "IL",
"postal_code": "608042218",
"telephone_number": "708-780-7705",
"fax_number": "708-780-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5535 W CERMAK RD STE A",
"city": "CICERO",
"state": "IL",
"postal_code": "608042218",
"telephone_number": "708-780-7705",
"fax_number": "708-780-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THASEEN",
"first_name": "SABIHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2017-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-092253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01622612",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036092253",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.