Individual provider Active NPI

Lubna Qazi Abdullah, MD

  • Pediatrics Physician
  • Wheaton, IL
National Provider Identifier
1558504142
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036.138677 Issued in IL
Practice address
290 W Loop Rd
Wheaton, IL 60189-2034
Phone
(630) 868-3621
NPI assigned
Apr 12, 2009
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MD
Pediatrics Physician 208000000X 036.138677 IL Primary

Addresses

Primary practice location

290 W Loop Rd
Wheaton, IL 60189-2034

Mailing address

290 W Loop Rd
Wheaton, IL 60189-2034
Phone (630) 868-3621

Other names 1

  • Lubna Qazi Noor Abdullah Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.138677ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Urgent Care LTD CurrentSince Aug 25, 2019 Accepting new patients
Kids Pediatrics LTD Pediatrics PastSince Jul 27, 2020 Accepting new patients

Locations

290 W Loop Rd
Wheaton, IL 60189
Phone (630) 868-3621

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16862/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lubna.abdullah.1@16862.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1239494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1558504142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 W LOOP RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892034",
            "telephone_number": "630-868-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 W LOOP RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892034",
            "telephone_number": "630-868-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLAH",
        "first_name": "LUBNA",
        "middle_name": "QAZI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-12",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.138677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUBNA QAZI",
            "last_name": "ABDULLAH",
            "middle_name": "NOOR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.