Active NPI
S J Hasanain, MD
- Cardiovascular Disease Physician
- Melrose Park, IL
National Provider Identifier
1720183437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036045225
- Practice address
- 675 W North Ave
Suite 309
Melrose Park, IL 60160 - Phone
- (708) 450-5757
- Fax
- (708) 344-0095
- NPI assigned
- Sep 14, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036045225 | IL | Primary |
Addresses
Primary practice location
675 W North Ave
Suite 309
Melrose Park, IL 60160
Mailing address
675 W North Ave
S J Hasanain MD Suite 309
Melrose Park, IL 60160
Phone (708) 450-5757
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036045225 | Medicaid | IL | |
| 303160 | Other | WELLCARE | |
| 21604034 | Other | BCBS | |
| 06000190 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1720183437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 W NORTH AVE",
"address_2": "S J HASANAIN MD SUITE 309",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "60160",
"telephone_number": "708-450-5757",
"fax_number": "708-344-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 W NORTH AVE",
"address_2": "SUITE 309",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "60160",
"telephone_number": "708-450-5757",
"fax_number": "708-344-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASANAIN",
"first_name": "S",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036045225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036045225",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "303160",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "21604034",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "06000190",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.