Individual provider Active NPI

Husam Naser, PA-C

  • Physician Assistant
  • New Lenox, IL
National Provider Identifier
1710694690
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1851 Silver Cross Blvd Ste 100
New Lenox, IL 60451-9599
Phone
(815) 300-2727
NPI assigned
Nov 1, 2022
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1851 Silver Cross Blvd Ste 100
New Lenox, IL 60451-9599

Mailing address

7356 W 84TH PL
Bridgeview, IL 60455-1707
Phone (708) 870-9198

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221230000283 IL Practitioner - Physician Assistant 2668842006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Midwestern University College of Dental Medicine, Downers Grove, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Romeoville Urgent Care PLLCGroup PAC ID 4183069420, 2 clinicians

Practice addresses (Care Compare)

637 N Independence Blvd
Romeoville, IL 60446-1342
Phone (708) 620-4111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Service Systems, Inc CurrentSince Oct 10, 2022 Accepting new patients
Health Service Systems, Inc CurrentSince Nov 6, 2022 Accepting new patients

Locations

1851 Silver Cross Blvd
Ste 100
New Lenox, IL 60451
Phone (708) 237-7252

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1710694690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7356 W 84TH PL",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551707",
            "telephone_number": "708-870-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 SILVER CROSS BLVD STE 100",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519599",
            "telephone_number": "815-300-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASER",
        "first_name": "HUSAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.