Individual provider Active NPI

Yaqoob M Syed, DO

  • Family Medicine Physician
  • Rolling Meadows, IL
National Provider Identifier
1801200456
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036141562 Issued in IL
Practice address
1941 Rohlwing Rd
Rolling Meadows, IL 60008-1338
Phone
(847) 618-0850
Fax
(847) 618-0859
NPI assigned
Jun 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125-064586 IL
Family Medicine Physician 207Q00000X 036141562 IL Primary

Addresses

Primary practice location

1941 Rohlwing Rd
Rolling Meadows, IL 60008-1338

Mailing address

1941 Rohlwing Rd
Rolling Meadows, IL 60008-1338
Phone (847) 618-0850

Other identifiers 2

IdentifierTypeStateIssuer
1801200456MedicaidWI
036141562OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ysyed116373@direct.nch.org

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
I20171227000534 IL Practitioner - Family PracticePractitioner - Sports Medicine 9133487952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

7702 N Alpine Rd
Loves Park, IL 61111-3107
Phone (815) 971-2000

Hospital & facility affiliations

  • Mercyhealth at Home Home health agency, Rockford, IL, CCN 147029
  • Vna Hospice Hospice, Rockford, IL, CCN 141521
  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036141562ILMDFamily Medicine Physician
125-064586ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Services Inc Family Medicine CurrentSince Jul 6, 2018 Accepting new patients
Northwest Community Health Services Inc CurrentSince Jul 6, 2018 Accepting new patients
Rockford Health Physicians CurrentSince Aug 1, 2020 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients

Locations

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

Carol Stream, IL 60122

25233 Network Pl
Chicago, IL 60673

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

7702 N Alpine Rd
Loves Park, IL 61111
Phone (815) 971-3397

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

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

1941 Rohlwing Rd
Rolling Meadows, IL 60008
Phone (847) 618-0850

Interoperability endpoints

  • Direct secure messaging: ysyed73911@direct.mhemail.org
  • Direct secure messaging: ysyed116373@direct.nch.org

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.

Hospital & facility affiliations 3

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1801200456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 ROHLWING RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081338",
            "telephone_number": "847-618-0850",
            "fax_number": "847-618-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 ROHLWING RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081338",
            "telephone_number": "847-618-0850",
            "fax_number": "847-618-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "YAQOOB",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-064586",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036141562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801200456",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036141562",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ysyed116373@direct.nch.org",
            "affiliation": "N",
            "address_1": "1941 Rohlwing Rd",
            "city": "Rolling Meadows",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600081338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

Verify at the official NPI Registry.