Individual provider Active NPI

Qaiser Jamal, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1730129461
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
1044 N Francisco Ave
Chicago, IL 60622-2743
Phone
(773) 292-8278
Fax
(773) 292-5944
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

1044 N Francisco Ave
Chicago, IL 60622-2743

Mailing address

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8278

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111101000715 IL Practitioner - Internal MedicinePractitioner - Geriatric PsychiatryPractitioner - Geriatric Medicine 8820261191 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036097320ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD @ Home Illinois, SC Internal Medicine CurrentSince Mar 9, 2020 Accepting new patients
Humboldt Park Health Past Accepting new patients
Humboldt Park Health Past Accepting new patients

Locations

2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223

Interoperability endpoints

  • Direct secure messaging: qaiser.jamal.1@3342.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730129461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 N FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222743",
            "telephone_number": "773-292-8278",
            "fax_number": "773-292-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222743",
            "telephone_number": "773-292-8278",
            "fax_number": "773-292-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMAL",
        "first_name": "QAISER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.