Active NPI
Hashim Raza Zaidi, M.D.
- Family Medicine Physician
- Herscher, IL
National Provider Identifier
1821005448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-116487
- Practice address
- 692 N Maple St
Herscher, IL 60941-9785 - Phone
- (815) 426-2020
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-116487 | IL | Primary |
Addresses
Primary practice location
692 N Maple St
Herscher, IL 60941-9785
Mailing address
555 W Court St
Suite 410
Kankakee, IL 60901-3664
Phone (815) 802-8740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-116487 | Other | IL | STATE LICENSE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061117000106 | IL | Practitioner - Family Practice | 8325046840 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-116487 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Group of Kankakee County | Family Medicine | Current | Accepting new patients |
Locations
555 E North St
Ste E
Bradley, IL 60915
Phone (815) 929-0858
692 N Maple St
Herscher, IL 60941
Phone (815) 426-2020
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Herscher, IL
- NPI 1962588095
Family Medicine, IL
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
-
- Community Based Hospice Care Agency
- Bourbonnais, IL
- NPI 1811935240
Hospice
-
- Home Health Agency
- Peotone, IL
- NPI 1740346451
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Group of Kankakee County
Practice addresses (Care Compare)
555 E N St
Suite E
Bradley, IL 60915-1232
Phone (815) 929-0858
692 N Maple St
Herscher, IL 60941-9785
Phone (815) 426-2020
Hospital & facility affiliations
- R.M.C. Home Health Care
- Uplifted Care
- Northwestern Medicine Central Dupage Hospital
- Riverside Medical Center
- Presence St Marys Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1821005448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W COURT ST",
"address_2": "SUITE 410",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013664",
"telephone_number": "815-802-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "692 N MAPLE ST",
"city": "HERSCHER",
"state": "IL",
"postal_code": "609419785",
"telephone_number": "815-426-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAIDI",
"first_name": "HASHIM",
"middle_name": "RAZA",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-116487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036-116487",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Herscher, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.