Active NPI
Hadi Hedayati, M.D.
- Rheumatology Physician
- Morris, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 036048715
- Practice address
- 1345 Edwards St Ste 1
Morris, IL 60450-1692 - Phone
- (815) 942-9299
- Fax
- (815) 941-6431
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 036048715 | IL | Primary |
Addresses
Primary practice location
1345 Edwards St Ste 1
Morris, IL 60450-1692
Mailing address
725 School St Ste a
Morris, IL 60450-1207
Phone (815) 941-9124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036048715-4 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1345 Edwards St
Suite 1
Morris, IL 60450-1692
Phone (815) 942-9299
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036048715 | IL | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532
580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122
1051 W US Route 6
Ste 300
Morris, IL 60450
Phone (815) 932-7246
725 School St
Ste A
Morris, IL 60450
150 W High St
Morris, IL 60450
Phone (815) 942-2129
1345 Edwards St
Ste 1
Morris, IL 60450
Phone (815) 318-5010
Interoperability endpoints
- hadi.hedayati@direct-address.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Morris, IL
- NPI 1558466268
-
- Health Service Clinic/Center
- Morris, IL
- NPI 1376658658
-
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mendota, IL
- NPI 1609803113
-
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- Critical Access Hospital
- Princeton, IL
- NPI 1093308439
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1720066111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 SCHOOL ST STE A",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501207",
"telephone_number": "815-941-9124",
"fax_number": "815-941-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 EDWARDS ST STE 1",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501692",
"telephone_number": "815-942-9299",
"fax_number": "815-941-6431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDAYATI",
"first_name": "HADI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IL",
"license": "036048715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036048715-4",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.