Ghazala Fayyaz, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036113634 Issued in IL

Practice address

1542 W Devon Ave
Chicago, IL 60660-1344

Phone

(773) 465-4600

Fax

(773) 465-4666

NPI assigned

May 19, 2006

Last updated

May 11, 2022By the provider in NPPES

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 2

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

Specialty

Psychiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hamdard Health AllianceGroup PAC ID 4880680289, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hamdard Health Alliance

  dba Hamdard Health Addison

  • Federally Qualified Health Center (FQHC)
  • Addison, IL
  • NPI 1609875053
  Medicare reassignment Care Compare group NPD
• Advance Psychiatry & Counseling, SC.

  • Psychiatry Physician
  • Bloomingdale, IL
  • NPI 1669563789
  Medicare reassignment NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1649223595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601344",
            "telephone_number": "773-465-4600",
            "fax_number": "734-465-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601344",
            "telephone_number": "773-465-4600",
            "fax_number": "773-465-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYYAZ",
        "first_name": "GHAZALA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036113634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036113634 - 2",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF IL",
            "identifier": "1669563789",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Fayen, M.D.
• Sucheta Ravindran Fayen
• Rochelle Alexandra Fayngor, MD
• Blaise Fayolle
• Nadia Anne Fayoumi
• Humna Fayyaz, MD
• Mohammad Fayyaz, MD
• Bita Medinejad Fayz, DDS
• Farhad Fayz, DDS
• Lily Fayz, DMD

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.

Verify at the official NPI Registry.