Individual provider Active NPI

Saeed Chowdhry, MD

  • Plastic Surgery Physician
  • Oak Lawn, IL
National Provider Identifier
1780837922
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
01088200A Issued in IN
Practice address
4400 W 95TH St Ste 102
Oak Lawn, IL 60453-2655
Phone
(708) 684-4198
Fax
(708) 684-4755
NPI assigned
Oct 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036.121642 IL
Plastic and Reconstructive Surgery Physician 2086S0122X 036121642 IL
Plastic Surgery Physician 208200000X 01088200A IN Primary

Addresses

Primary practice location

4400 W 95TH St Ste 102
Oak Lawn, IL 60453-2655

Mailing address

4400 W 95TH St Ste 102
Oak Lawn, IL 60453-2655
Phone (708) 684-4198

Other practice location 1

11141 Parkview Plaza Dr Ste 300
Fort Wayne, IN 46845-1715
Phone (260) 425-6960

Other identifiers 3

IdentifierTypeStateIssuer
7100075310MedicaidKY
01088200AMedicaidIN
036121642OtherILSTATE LICENSE

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address schowdhry205795@direct.myadvocateaurora.org Direct
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address schowdhry589425@Direct.Parkviewexchange.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151104001031 IL Practitioner - Plastic and Reconstructive Surgery 8325190416 Reassigns benefits to 2 organizations
I20220811001462 IN Practitioner - Plastic and Reconstructive Surgery 8325190416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Rush Medical College of Rush University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-4393

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.121642ILMDSurgery Physician
036121642ILMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc Surgery CurrentSince Dec 17, 2023 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Lutheran Medical Group LLC CurrentSince Jul 22, 2022 Accepting new patients
Rockford Health Physicians CurrentSince Sep 24, 2021 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Oct 23, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 23, 2017 Accepting new patients
Lutheran Medical Group LLC CurrentSince Jul 22, 2022 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

29373 Network Pl
Chicago, IL 60673

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

4400 W 95th St
Ste 102
Oak Lawn, IL 60453
Phone (708) 423-4070

2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

11141 Parkview Plaza Dr
Ste 300
Fort Wayne, IN 46845
Phone (260) 425-6960

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

7900 W Jefferson Blvd
Ste 306
Fort Wayne, IN 46804
Phone (260) 458-3610

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

Interoperability endpoints

  • Direct secure messaging: schowdhry205795@direct.myadvocateaurora.org
  • Direct secure messaging: schowdhry589425@direct.parkviewexchange.com

Organizations & group practices 9

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": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1780837922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W 95TH ST STE 102",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532655",
            "telephone_number": "708-684-4198",
            "fax_number": "708-684-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W 95TH ST STE 102",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532655",
            "telephone_number": "708-684-4198",
            "fax_number": "708-684-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11141 Parkview Plaza Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451715",
            "country_code": "US",
            "telephone_number": "260-425-6960",
            "fax_number": "260-425-6965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOWDHRY",
        "first_name": "SAEED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.121642",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036121642",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": "01088200A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100075310",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01088200A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036121642",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schowdhry205795@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4400 W 95th St Ste 102",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11141 Parkview Plaza Dr Ste 300",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11141 Parkview Plaza Dr Ste 300",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4400 W 95th St Ste 102",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schowdhry589425@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11141 Parkview Plaza Dr Ste 300",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.