Individual provider Active NPI

Randa M Hassan, MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1558459560
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036115666 Issued in IL
Practice address
1801 W Taylor St
Chicago, IL 60612-4795
Phone
(312) 413-7500
Fax
(312) 413-3856
NPI assigned
Oct 11, 2006
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036115666 IL Primary

Addresses

Primary practice location

1801 W Taylor St
Chicago, IL 60612-4795

Mailing address

820 S Wood St # Mc808
Chicago, IL 60612-4325
Phone (312) 996-7006

Other identifiers 1

IdentifierTypeStateIssuer
010122910OtherILBLUE CROSS BLUE SHIELD

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
I20091104000169 IL Practitioner - Obstetrics/Gynecology 0840392338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1309 S Halsted St
Chicago, IL 60607-5003
Phone (312) 413-3000

1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 355-6245

1801 W Taylor St
FL 4
Chicago, IL 60612-4795
Phone (312) 355-6245

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036115666ILMDObstetrics & Gynecology Physician
036109970ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Jan 16, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Obstetrics & Gynecology CurrentSince Jan 16, 2022 Accepting new patients
Swedish Covenant Management Services, Inc. CurrentSince Jun 1, 2013 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Mar 5, 2017 Accepting new patients
Swedish Covenant Management Services, Inc. Obstetrics & Gynecology Current Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Jun 1, 2013 Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients
Martin Clinic Corp Obstetrics & Gynecology Past Accepting new patients

Locations

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700

2740 W Foster Ave
Ste 310
Chicago, IL 60625

4753 N Elston Ave
Chicago, IL 60630
Phone (773) 205-7200

5140 N California Ave
Chicago, IL 60625
Phone (773) 275-8811

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

820 S Wood St
#808
Chicago, IL 60612
Phone (312) 996-7006

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

2780 McFarland Rd
Rockford, IL 61107
Phone (815) 637-0000

Interoperability endpoints

  • Direct secure messaging: rhassan122226@uihealth.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1558459560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S WOOD ST # MC808",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124325",
            "telephone_number": "312-996-7006",
            "fax_number": "312-996-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124795",
            "telephone_number": "312-413-7500",
            "fax_number": "312-413-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "RANDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036115666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "010122910",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.