Individual provider Active NPI

Abdullah Quddus, M.D.

  • Interventional Cardiology Physician
  • Naperville, IL
National Provider Identifier
1578851515
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036171131 Issued in IL
Practice address
801 S Washington St FL 4
Naperville, IL 60540-7430
Phone
(630) 600-0700
Fax
(630) 600-0701
NPI assigned
Jul 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP02233 RI
Internal Medicine Physician 207R00000X 01082327A IN
Cardiovascular Disease Physician 207RC0000X 036171131 IL
Cardiovascular Disease Physician 207RC0000X 01082327A IN
Cardiovascular Disease Physician 207RC0000X MT207772 PA
Interventional Cardiology Physician 207RI0011X 036171131 IL Primary
Interventional Cardiology Physician 207RI0011X 01082327A IN
Interventional Cardiology Physician 207RI0011X MD474639 PA

Addresses

Primary practice location

801 S Washington St FL 4
Naperville, IL 60540-7430

Mailing address

801 S Washington St FL 4
Naperville, IL 60540-7430
Phone (630) 600-0700

Other practice location 1

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4011

Other practice location 2

3500 Franciscan Way Ste 400
Michigan City, IN 46360
Phone (219) 878-8200

Other practice location 3

235 E Brown St
East Stroudsburg, PA 18301-3013
Phone (272) 212-4000

Other identifiers 1

IdentifierTypeStateIssuer
300029114MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aquddus420219@Direct.FranciscanAlliance.org Direct

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
I20240924001114 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3274758313 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute Gpe IncGroup PAC ID 9739697574, 51 clinicians
Elmhurst Memorial HospitalGroup PAC ID 3577458009, 82 clinicians
Edward HospitalGroup PAC ID 0042108110, 98 clinicians

Practice addresses (Care Compare)

10 Martin Ave
Suite 200
Naperville, IL 60540-6535
Phone (630) 600-0700

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 758-8000

16519 S Route 59
Suite a
Plainfield, IL 60586-2608
Phone (630) 600-0700

801 S Washington St
Naperville, IL 60540-7430
Phone (312) 355-0450

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting30
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT207772PAMDCardiovascular Disease Physician
036171131ILMDInterventional Cardiology Physician
01082327AINMDInterventional Cardiology Physician
MD474639PAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Cardiovascular Institute SC Cardiovascular Disease CurrentSince Aug 28, 2024 Accepting new patients
Edward Hospital Cardiovascular Disease CurrentSince Sep 15, 2024 Accepting new patients
Naperville Psychiatric Ventures CurrentSince Sep 15, 2024 Accepting new patients
Cardiovascular Institute Gpe Inc Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
Naperville Psychiatric Ventures CurrentSince Sep 15, 2024 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Sep 15, 2024 Accepting new patients
Edward Hospital CurrentSince Sep 15, 2024 Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

133 E Brush Hill Rd
Ste 202
Elmhurst, IL 60126
Phone (331) 231-6200

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

10 Martin Ave
Ste 200
Naperville, IL 60540
Phone (630) 369-1572

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

852 S West St
Naperville, IL 60540
Phone (630) 305-5027

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: aquddus420219@direct.franciscanalliance.org
  • Direct secure messaging: abdullah.quddus@slpg.direct-sluhn.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1578851515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S WASHINGTON ST FL 4",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407430",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S WASHINGTON ST FL 4",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407430",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "484-526-4011",
            "fax_number": "484-526-4010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Franciscan Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "46360",
            "country_code": "US",
            "telephone_number": "219-878-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 E Brown St",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183013013",
            "country_code": "US",
            "telephone_number": "272-212-4000",
            "fax_number": "866-230-6623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUDDUS",
        "first_name": "ABDULLAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP02233",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01082327A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036171131",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01082327A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MT207772",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036171131",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01082327A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD474639",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300029114",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aquddus420219@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3500 Franciscan Way Ste 400",
            "city": "Michigan City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.