Individual provider Active NPI

Yasmin Irfan Kagzi, M.D

  • Internal Medicine Physician
  • Lombard, IL
National Provider Identifier
1659525103
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.129037 Issued in IL
Practice address
130 S Main St Ste 201
Lombard, IL 60148-2670
Phone
(331) 221-9001
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.129037 IL Primary
Internal Medicine Physician 207R00000X 57.015012 OH

Addresses

Primary practice location

130 S Main St Ste 201
Lombard, IL 60148-2670

Mailing address

4201 Winfield Rd
Warrenville, IL 60555-4025

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ykagzi183757@direct.edward.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
I20120525000417 IL Practitioner - Internal Medicine 0547423717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
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)

130 S Main St
Lombard, IL 60148-2670

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

  • Residential Home Health Home health agency, Lisle, IL, CCN 147568
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Edward Hospital Hospital, Naperville, IL, CCN 140231

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.129037ILMDInternal Medicine Physician
57.015012OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elmhurst Memorial Healthcare Internal Medicine CurrentSince Nov 13, 2023 Accepting new patients
Addison Medical Associates LTD Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Nov 13, 2023 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Wyse Eyecare SC Past Accepting new patients

Locations

276 W Fullerton Ave
Addison, IL 60101
Phone (630) 543-5454

9532 Eagle Way
Chicago, IL 60678

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

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

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

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

130 S Main St
Ste 201
Lombard, IL 60148
Phone (331) 221-9199

130 S Main St
Lombard, IL 60148
Phone (331) 221-5800

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1S450 Summit Ave
Ste 390
Oakbrook Terrace, IL 60181
Phone (630) 339-5300

4201 Winfield Rd
Warrenville, IL 60555
Phone (331) 221-8000

Interoperability endpoints

  • Direct secure messaging: ykagzi183757@direct.edward.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 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": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1659525103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WINFIELD RD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST STE 201",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482670",
            "telephone_number": "331-221-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGZI",
        "first_name": "YASMIN",
        "middle_name": "IRFAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.129037",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.015012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ykagzi183757@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "130 S Main St Ste 201",
            "city": "Lombard",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601482670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.