Individual provider Active NPI

Atif Khawaja Hassan, MD

  • Interventional Cardiology Physician
  • Chicago, IL
National Provider Identifier
1588097596
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036151549 Issued in IL
Practice address
5140 N California Ave Ste 740
Chicago, IL 60625-7066
Phone
(773) 989-3957
Fax
(773) 989-3971
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036151549 IL
Interventional Cardiology Physician 207RI0011X 036151549 IL Primary

Addresses

Primary practice location

5140 N California Ave Ste 740
Chicago, IL 60625-7066

Mailing address

5140 N California Ave Ste 740
Chicago, IL 60625-7066
Phone (773) 989-3957

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahassan276885@direct.northshore.org

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
I20200803002474 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3971806522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2100 Pfingsten Rd
Glenview, IL 60026-1301

2650 Ridge Ave
Evanston, IL 60201-1700

2739 W Foster Ave
Chicago, IL 60625-3661
Phone (773) 878-8200

5140 N California
Suite G600
Chicago, IL 60625-3645
Phone (773) 989-3803

5140 N California Ave
Chicago, IL 60625-3645

5140 N California Ave
Chicago, IL 60625-7066

5140 N California Ave
Suite 545
Chicago, IL 60625-3660
Phone (773) 907-3038

5145 N California
Hosps Suite 331
Chicago, IL 60625-3661
Phone (847) 570-2280

5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 878-8200

Hospital & facility affiliations

  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting60
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036151549ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Providers and Hospitalists Inc Internal Medicine CurrentSince Dec 9, 2018 Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 23, 2020 Accepting new patients
Swedish Covenant Management Services, Inc. CurrentSince Aug 17, 2020 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Aug 17, 2020 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Jul 23, 2020 Accepting new patients
Swedish Covenant Management Services, Inc. Internal Medicine Current Accepting new patients

Locations

2740 W Foster Ave
Ste LL7
Chicago, IL 60625

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

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

5140 N California Ave
Ste 740
Chicago, IL 60625
Phone (773) 275-4446

9532 Eagle Way
Chicago, IL 60678

5140 N California Ave
Ste 700GMP
Chicago, IL 60625
Phone (773) 293-4170

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

10999 Reed Hartman Hwy
Ste 215
Blue Ash, OH 45242
Phone (513) 745-9320

Interoperability endpoints

  • Direct secure messaging: ahassan276885@direct.northshore.org

Organizations & group practices 6

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 2

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1588097596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE STE 740",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257066",
            "telephone_number": "773-989-3957",
            "fax_number": "773-989-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE STE 740",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257066",
            "telephone_number": "773-989-3957",
            "fax_number": "773-989-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "ATIF",
        "middle_name": "KHAWAJA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036151549",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036151549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahassan276885@direct.northshore.org",
            "affiliation": "N",
            "address_1": "5140 N California Ave Ste 740",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606257066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.