Active NPI
Abdullah Quddus, M.D.
- Interventional Cardiology Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036171131
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300029114 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Elmhurst Memorial Hospital
- Copley Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 30 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT207772 | PA | MD | Cardiovascular Disease Physician |
| 036171131 | IL | MD | Interventional Cardiology Physician |
| 01082327A | IN | MD | Interventional Cardiology Physician |
| MD474639 | PA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Cardiovascular Institute SC | Cardiovascular Disease | Current | Accepting new patients |
| Edward Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Naperville Psychiatric Ventures | Current | Accepting new patients | |
| Cardiovascular Institute Gpe Inc | Cardiovascular Disease | Current | Accepting new patients |
| Naperville Psychiatric Ventures | Current | Accepting new patients | |
| Elmhurst Memorial Hospital | Current | Accepting new patients | |
| Edward Hospital | Current | 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
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
- aquddus420219@direct.franciscanalliance.org
- 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.
-
- Cardiovascular Disease Physician
- Naperville, IL
- NPI 1992594022
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1013969013
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
- Cardiovascular Disease Physician
- Naperville, IL
- NPI 1003491549
-
- Psychiatric Hospital
- Naperville, IL
- NPI 1871628362
-
- Psychiatric Hospital
- Naperville, IL
- NPI 1619910460
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1295882561
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.