Organization Active NPI

Nashib Hashmi MD PC

  • Nephrology Physician
  • Kankakee, IL
National Provider Identifier
1528022738
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NASHIB HASHMI MD PC
Practice address
401 N Wall St
Ste 100
Kankakee, IL 60901-2934
Phone
(815) 932-7110
Fax
(815) 932-7112
NPI assigned
Apr 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nashib Hashmi, MD
Title
Physician Nephrologist President Co
Phone
(815) 932-7110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X IL Primary

Addresses

Primary practice location

401 N Wall St
Ste 100
Kankakee, IL 60901-2934

Mailing address

401 N Wall St
Ste 100
Kankakee, IL 60901-2934
Phone (815) 932-7110

Other identifiers 1

IdentifierTypeStateIssuer
04632050OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Kidney Center of Kankakee Doing business as

National Provider Directory

National Provider Directory

Locations

581 William R Latham SR Dr
Ste 104
Bourbonnais, IL 60914
Phone (815) 936-3088

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528022738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N WALL ST",
            "address_2": "STE 100",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012934",
            "telephone_number": "815-932-7110",
            "fax_number": "815-932-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N WALL ST",
            "address_2": "STE 100",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012934",
            "telephone_number": "815-932-7110",
            "fax_number": "815-932-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHIB HASHMI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASHMI",
        "authorized_official_first_name": "NASHIB",
        "authorized_official_title_or_position": "PHYSICIAN NEPHROLOGIST PRESIDENT CO",
        "authorized_official_telephone_number": "815-932-7110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04632050",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Center of Kankakee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.