Mala Hajat, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

336026193 Issued in IL

Practice address

10723 Winterset Dr
Orland Park, IL 60467-1106

Phone

(708) 364-7098

Fax

(708) 364-7310

NPI assigned

Sep 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. P. Mala Hajat Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Primary Health Care LLC

  • Primary Care Clinic/Center
  • Willowbrook, IL
  • NPI 1053933184
  Medicare reassignment
• Urgent Medical Care LLC

  • Urgent Care Clinic/Center
  • Willowbrook, IL
  • NPI 1699397729
  Medicare reassignment

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1619071966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 DEER PATH TRL",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276324",
            "telephone_number": "630-624-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10723 WINTERSET DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671106",
            "telephone_number": "708-364-7098",
            "fax_number": "708-364-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1276 N Clybourn Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606102089",
            "country_code": "US",
            "telephone_number": "312-337-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAJAT",
        "first_name": "MALA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "336026193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061625",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "P. MALA",
            "last_name": "HAJAT",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Suroosh Hadi
• Mary Beth Hafner
• Regina Bernadette Hagglund
• Amina Begum Hai, MD
• Yafa Hajali, PTA
• Kristina Nancy Hajek, PA-C
• Amtul Hajira, D.O.
• Dana Hall, MA, LCPC
• Rebecca L Hall, PSYD
• Erika Halverson, BCBA

• Internal Medicine Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.