Active NPI
Syed M Haque, M.D.
- Hospitalist Physician
- Rock Island, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 31146
- Practice address
- 2701 17TH St
Rock Island, IL 61201-5351 - Phone
- (309) 779-3200
- Fax
- (309) 779-2755
- NPI assigned
- Sep 2, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 31146 | IA | Primary |
| Internal Medicine Physician | 207R00000X | 036-095139 | IL | |
| Internal Medicine Physician | 207R00000X | 31146 | IA |
Addresses
Primary practice location
2701 17TH St
Rock Island, IL 61201-5351
Mailing address
2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-3200
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421060724 | Other | TRICARE | |
| 336056024 | Other | IL | CONTROLLED SUBSTANCE# |
| 421060724002 | Medicaid | IL | |
| 54808 | Other | IA | IOWA BC/BS |
| 0080200 | Medicaid | IA | |
| 421060724 | Other | IA | BILLING TAX ID # FOR CHC |
| 421060724 | Medicaid | IL | |
| 42106072461 | Other | IA | JOHN DEERE HEALTH |
| 8122859 | Other | IL | ILLINOIS BC/BS |
| 072992 | Other | IA | HEALTH ALLIANCE # |
| 1237527 | Other | IA | CONTROLLED SUBSTANCE # |
| IA0161 | Other | IA | JOHN DEERE EDI# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2701 17TH St
Rock Island, IL 61201-5393
Phone (309) 779-5000
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-5000
Hospital & facility affiliations
- Trinity Rock Island
- Trinity - Bettendorf
- Trinity Muscatine
- Southeast Iowa Regional Medical Center
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31146 | IA | MD | Internal Medicine Physician |
| 036-095139 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Internal Medicine | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Genesis Medical Center, Aledo | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Genesis Medical Center, Aledo | Current | Accepting new patients | |
| Genesis Medical Center, Aledo | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Trinity Medical Center | Past | Accepting new patients | |
| Unity Healthcare | Past | Accepting new patients | |
| Trinity Medical Center | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
500 W River Dr
Davenport, IA 52801
Phone (563) 327-2035
1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110
1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161
409 NW 9th Ave
Aledo, IL 61231
Phone (309) 582-2227
1007 NW 3rd St
Aledo, IL 61231
Phone (309) 582-3701
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
Interoperability endpoints
- shaque215783@direct.unitypoint.org
Organizations & group practices 10
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
- West Des Moines, IA
- NPI 1366425274
IL, Internal Medicine
-
- Critical Access Hospital
- Aledo, IL
- NPI 1225380967
-
- Critical Access Hospital
- Aledo, IL
- NPI 1427301308
-
- Podiatrist
- Aledo, IL
- NPI 1972856854
-
- Clinical Medical Laboratory
- Davenport, IA
- NPI 1649461310
-
- General Practice Physician
- Muscatine, IA
- NPI 1982831426
Internal Medicine
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
- General Acute Care Hospital
- Muscatine, IA
- NPI 1861444333
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
-
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
- General Acute Care Hospital
- Muscatine, IA
- NPI 1861444333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1720072960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 17TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015351",
"telephone_number": "309-779-3200",
"fax_number": "309-779-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 17TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015351",
"telephone_number": "309-779-3200",
"fax_number": "309-779-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAQUE",
"first_name": "SYED",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IA",
"license": "31146",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-095139",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "31146",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "421060724",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE#",
"identifier": "336056024",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421060724002",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA BC/BS",
"identifier": "54808",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0080200",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BILLING TAX ID # FOR CHC",
"identifier": "421060724",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421060724",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH",
"identifier": "42106072461",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS BC/BS",
"identifier": "8122859",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE #",
"identifier": "072992",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE #",
"identifier": "1237527",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE EDI#",
"identifier": "IA0161",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.