Mairaj Uddin, M.D.M.P.H.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

125.071525 Issued in IL

Practice address

211 N Eddy St
South Bend, IN 46617-2808

Phone

(574) 234-8161

Fax

(574) 204-7656

NPI assigned

Apr 4, 2016

Last updated

Aug 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

University of Miami, LM Miller School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radpod FL PLLCGroup PAC ID 9133624745, 42 clinicians

Riverside Health SystemGroup PAC ID 3274434717, 202 clinicians

St Bernard HospitalGroup PAC ID 1759361579, 43 clinicians

Saint Joseph Regional Medical Center IncGroup PAC ID 8325950843, 137 clinicians

Loretto HospitalGroup PAC ID 5193725893, 38 clinicians

Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians

Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
• Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018
• Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
• Holy Cross Hospital Hospital, Chicago, IL, CCN 140133
• Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
• Holy Family Medical Center Long-term care hospital, Des Plaines, IL, CCN 142011

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: muddin249158@dulyhealthandcare.direct-ci.com
• Direct secure messaging: muddin2795067@direct.trinity-health.org

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.

• Saint Joseph Regional Medical Center, Inc.

  dba Saint Joseph Medical Group

  • Pulmonary Disease Physician
  • Plymouth, IN
  • NPI 1225082878
  Medicare reassignment Care Compare group NPD
• Illinois Diagnostic and Interventional Radiology PLLC

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1114723608
  Medicare reassignment Care Compare group NPD
• Mount Sinai Community Foundation

  dba Sinai Medical Group

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1376715896
  Medicare reassignment Care Compare group NPD
• Radpod FL PLLC

  • Diagnostic Radiology Physician
  • Port St Lucie, FL
  • NPI 1730075672

  IL

  Medicare reassignment Care Compare group NPD
• Riverside Health System

  • General Practice Physician
  • Kankakee, IL
  • NPI 1417061193
  Medicare reassignment Care Compare group NPD
• St Bernard Hospital

  dba St. Bernard Anesthesia Group

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1629147210
  Medicare reassignment Care Compare group NPD
• Loretto Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1447280284
  Medicare reassignment Care Compare group
• Carle Health Medical Group

  dba Carle Physician Group

  • Internal Medicine Physician
  • Urbana, IL
  • NPI 1154653947
  Medicare reassignment NPD
• Precision Radiology - Illinois LTD

  • Specialist
  • Mequon, WI
  • NPI 1265156640

  IL

  Medicare reassignment NPD
• Saint Joseph Regional Medical Center, Inc.

  dba Saint Joseph Medical Group

  • Family Medicine Physician
  • Mishawaka, IN
  • NPI 1467406074
  NPD
• Mount Sinai Community Foundation

  dba Sinai Medical Group

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1649318296
  NPD
• Mount Sinai Community Foundation

  dba Sinai Medical Group

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982657854
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Cross Hospital

  • Psychiatric Hospital Unit
  • Chicago, IL
  • NPI 1427547538
  Care Compare affiliation
• Holy Cross Hospital

  • Substance Abuse Rehabilitation Facility
  • Chicago, IL
  • NPI 1770335770

  Hospital

  Care Compare affiliation
• Holy Cross Hospital

  • Substance Abuse Rehabilitation Facility
  • Chicago, IL
  • NPI 1821840828

  Hospital

  Care Compare affiliation
• Holy Cross Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1962425611
  Care Compare affiliation
• Holy Family Medical Center - Des Plaines LLC

  • Long Term Care Hospital
  • Des Plaines, IL
  • NPI 1205674611

  Long-term care hospital

  Care Compare affiliation
• Mount Sinai Hospital Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1871581314
  Care Compare affiliation
• Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811735228
  Care Compare affiliation
• Riverside Medical Center

  • General Acute Care Hospital
  • Kankakee, IL
  • NPI 1538208210
  Care Compare affiliation
• Saint Francis Hospital - Evanston LLC

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1982442398
  Care Compare affiliation

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1689037855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N EDDY ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172808",
            "telephone_number": "574-234-8161",
            "fax_number": "574-204-7656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 W Wellington Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575147",
            "country_code": "US",
            "telephone_number": "773-296-5944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1206 E 9th St",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "IL",
            "postal_code": "604412404",
            "country_code": "US",
            "telephone_number": "708-406-3328",
            "fax_number": "630-348-3604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "MAIRAJ",
        "credential": "M.D.M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125.071525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "muddin249158@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1206 E 9th St",
            "city": "Lockport",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604412404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Camie Tyler, MSW
• Shriyani Taylor Tysen, NP
• U.S. Healthworks Medical Group of Indiana, PC
• Kayra Gizem Ucpinar
• Khutb Mohammed Uddin, MD
• Francesca E Udoh, NP
• Marie K Udulutch, PSYD
• Stephanie Ufkin, NP-C
• Theresa Uhrich, MSW
• Ignatius Kizito Ukatu

• Diagnostic Radiology Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.