Individual provider Active NPI

Saba Quraishi, M.D.

  • Ophthalmology Physician
  • Bloomington, IL
National Provider Identifier
1801005384
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036120540 Issued in IL
Practice address
1228 Towanda Ave
Bond Eye Associates, S.C.
Bloomington, IL 61701-3469
Phone
(309) 662-3937
NPI assigned
May 22, 2007
Last updated
Dec 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036120540 IL Primary

Addresses

Primary practice location

1228 Towanda Ave
Bond Eye Associates, S.C.
Bloomington, IL 61701-3469

Mailing address

1750 N Randall Rd
Ste 200
Elgin, IL 60123-7903
Phone (309) 353-1579

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
I20090508000095 IL Practitioner - Ophthalmology 9739237371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald S Weiss MD SCGroup PAC ID 4385659069, 7 clinicians

Practice addresses (Care Compare)

4401 S Harlem Ave
Stickney, IL 60402-4250
Phone (708) 788-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036120540ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Care Institute, PLLC CurrentSince Nov 17, 2014 Accepting new patients
Ronald S Weiss MD SC Ophthalmology CurrentSince May 1, 2019 Accepting new patients
Bond Eye Associates, S.C. Past Accepting new patients

Locations

602 Fox Glen Ct
Barrington, IL 60010
Phone (847) 277-0111

1750 N Randall Rd
Ste 200
Elgin, IL 60123
Phone (847) 277-0555

4401 S Harlem Ave
Stickney, IL 60402
Phone (708) 788-3400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECEBA
  • Direct secure messaging: saba.quraishi.p1@direct.bondeye.nextgenshare.com
  • Direct secure messaging: saba.quraishi.p10@direct.hauserross.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1801005384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD",
            "address_2": "STE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237903",
            "telephone_number": "309-353-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 TOWANDA AVE",
            "address_2": "BOND EYE ASSOCIATES, S.C.",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013469",
            "telephone_number": "309-662-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURAISHI",
        "first_name": "SABA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036120540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.