Individual provider Active NPI

Sakeena Iftikhar Haq, DPM

  • Podiatrist
  • Buffalo Grove, IL
National Provider Identifier
1790946689
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016.005337 Issued in IL
Practice address
1257 W Dundee Rd
Buffalo Grove, IL 60089-4009
Phone
(847) 577-1649
Fax
(847) 577-1677
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016.005337 IL Primary

Addresses

Primary practice location

1257 W Dundee Rd
Buffalo Grove, IL 60089-4009

Mailing address

1257 W Dundee Rd
Buffalo Grove, IL 60089-4009
Phone (847) 577-1649

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090601000470 IL Practitioner - Podiatry 1658420211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smielewski Podiatry Inc.Group PAC ID 8628515608, 3 clinicians

Practice addresses (Care Compare)

1257 W Dundee Rd
Buffalo Grove, IL 60089-4009
Phone (847) 577-1949

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue43
Removal or shaving of skin growth27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005337ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Smielewski Podiatry Inc. Podiatrist CurrentSince Sep 1, 2024 Accepting new patients
Bruce Bever DPM LLC Podiatrist CurrentSince Apr 23, 2023 Accepting new patients
Lawrence a Short DPM LTD Podiatrist Past Accepting new patients
Foot First Podiatry II Past Accepting new patients

Locations

1257 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 577-1649

351 Greenleaf St
Ste C
Park City, IL 60085
Phone (847) 263-6073

Interoperability endpoints

  • Direct secure messaging: sakeena.haq.1@30154.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1790946689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894009",
            "telephone_number": "847-577-1649",
            "fax_number": "847-577-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894009",
            "telephone_number": "847-577-1649",
            "fax_number": "847-577-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQ",
        "first_name": "SAKEENA",
        "middle_name": "IFTIKHAR",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016.005337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.