Individual provider Active NPI

Saad Khizar Usmani, BDS, MSD

  • Periodontics
  • Chicago, IL
National Provider Identifier
1669928685
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
021.003399 Issued in IL
Practice address
111 N Wabash Ave Ste 812
Chicago, IL 60602-1912
Phone
(312) 273-9350
NPI assigned
Aug 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.035545 IL
Periodontics 1223P0300X 021.003399 IL Primary
Periodontics 1223P0300X 0401418397 VA

Addresses

Primary practice location

111 N Wabash Ave Ste 812
Chicago, IL 60602-1912

Mailing address

111 N Wabash Ave Ste 812
Chicago, IL 60602-1912
Phone (312) 273-9350

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260527000064 IL Practitioner - Dentist 8123596178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Case Western University School of Dental Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 N Wabash Ave
Suite 812
Chicago, IL 60602-1912

1211 S Prairie Ave Apt
Suite 4901
Chicago, IL 60605-3662

3300 Tully Rd
Suite A6
Modesto, CA 95350-0867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.035545ILMDDentist
021.003399ILMDPeriodontist
0401418397VAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Dental Services LTD Periodontics CurrentSince Mar 30, 2026 Accepting new patients

Locations

111 N Wabash Ave
Ste 812
Chicago, IL 60602
Phone (312) 273-9350

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1669928685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 812",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021912",
            "telephone_number": "312-273-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 812",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021912",
            "telephone_number": "312-273-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USMANI",
        "first_name": "SAAD",
        "middle_name": "KHIZAR",
        "name_prefix": "Dr.",
        "credential": "BDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.035545",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021.003399",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401418397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.