Active NPI
Fatima Qadri, MD
- Hospitalist Physician
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036167449
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Northwestern Medicine McHenry
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036167449 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Suburban Medical Group Corp | Current | Accepting new patients | |
| Suburban Medical Group Corp | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
IL, Internal Medicine
-
- Urgent Care Clinic/Center
- Bolingbrook, IL
- NPI 1871180901
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Urgent Care Clinic/Center
- Carol Stream, IL
- NPI 1134824410
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.