Individual provider Active NPI

Fatima Qadri, MD

  • Hospitalist Physician
  • McHenry, IL
National Provider Identifier
1801417217
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036167449 Issued in IL
Practice address
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone
(815) 759-4323
Fax
(815) 759-4948
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036167449 IL Primary
Internal Medicine Physician 207R00000X 036167449 IL
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4201 W Medical Center Dr
McHenry, IL 60050-8409

Mailing address

200 N Gary Ave
Carol Stream, IL 60188-1834
Phone (630) 360-2958

Other practice location 1

200 N Gary Ave
Carol Stream, IL 60188-1834
Phone (630) 360-2958

Other practice location 2

1001 Hoffman St
Elmira, NY 14905-1605
Phone (607) 442-1713

Other practice location 3

600 Roe Ave
Elmira, NY 14905-1629
Phone (607) 442-1713

Other practice location 4

693 W Boughton Rd
Bolingbrook, IL 60440-1752
Phone (630) 326-8766

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
I20240415003034 IL Practitioner - Internal MedicinePractitioner - Hospitalist 2567801210 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of Illinois LLCGroup PAC ID 1557533734, 193 clinicians
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8200

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 747-4000

4201 W Medical Ctr Dr
McHenry, IL 60050-8409
Phone (815) 759-4323

Hospital & facility affiliations

  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036167449ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2024 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Jan 2, 2025 Accepting new patients
Suburban Medical Group Corp CurrentSince Apr 1, 2024 Accepting new patients
Suburban Medical Group Corp CurrentSince Apr 1, 2024 Accepting new patients

Locations

693 W Boughton Rd
Bolingbrook, IL 60440
Phone (630) 326-8766

689 W Boughton Rd
Bolingbrook, IL 60440
Phone (630) 326-8766

Dept 5777
Carol Stream, IL 60122

200 N Gary Ave
Carol Stream, IL 60188
Phone (630) 326-8766

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

Interoperability endpoints

  • Direct secure messaging: fqadri164227@uihealth.direct-ci.com

Organizations & group practices 5

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 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": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1801417217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N GARY AVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881834",
            "telephone_number": "630-360-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-759-4323",
            "fax_number": "815-759-4948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Gary Ave",
            "address_purpose": "LOCATION",
            "city": "Carol Stream",
            "state": "IL",
            "postal_code": "601881834",
            "country_code": "US",
            "telephone_number": "630-360-2958",
            "fax_number": "630-360-2959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Hoffman St",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149051605",
            "country_code": "US",
            "telephone_number": "607-442-1713",
            "fax_number": "607-873-7359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Roe Ave",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149051629",
            "country_code": "US",
            "telephone_number": "607-442-1713",
            "fax_number": "607-873-7359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "693 W Boughton Rd",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604401752",
            "country_code": "US",
            "telephone_number": "630-326-8766",
            "fax_number": "630-326-8768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QADRI",
        "first_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036167449",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036167449",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.