Active NPI
Sameer Mateen Naseeruddin, M.D.
- Internal Medicine Physician
- Schaumburg, IL
National Provider Identifier
1578627964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036112407
- Practice address
- 1102 S Roselle Rd
Schaumburg, IL 60193-4072 - Phone
- (847) 924-6626
- Fax
- (847) 882-1810
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- 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 | 036112407 | IL | Primary |
Addresses
Primary practice location
1102 S Roselle Rd
Schaumburg, IL 60193-4072
Mailing address
1102 S Roselle Rd
Schaumburg, IL 60193-4072
Phone (847) 924-6626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036112407 | 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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1102 S Roselle Rd
Schaumburg, IL 60193-4004
Phone (847) 882-1438
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036112407 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skypoint Medical Center, SC | Internal Medicine | Current | Accepting new patients |
| Suburban Home Physicians,LLC | Internal Medicine | Past | Accepting new patients |
| Fahey Medical Center S.C. | Past | Accepting new patients | |
| American Home Visiting Physicians | Past | Accepting new patients |
Locations
1140 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 385-4828
1102 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 301-7773
Interoperability endpoints
- https://api.platform.athenahealth.com/8847/brand/1/csg/1/fhir/r4
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.
-
- Internal Medicine Physician
- Schaumburg, IL
- NPI 1649461278
-
- General Practice Physician
- Des Plaines, IL
- NPI 1144525510
-
- Clinic/Center
- Des Plaines, IL
- NPI 1780735977
-
- Internal Medicine Physician
- Schaumburg, IL
- NPI 1770722407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1578627964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 S ROSELLE RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601934072",
"telephone_number": "847-924-6626",
"fax_number": "847-882-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 S ROSELLE RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601934072",
"telephone_number": "847-924-6626",
"fax_number": "847-882-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASEERUDDIN",
"first_name": "SAMEER",
"middle_name": "MATEEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036112407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036112407",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.