NPIMap

Individual provider Active NPI

S Khalid Husain, DPM

  • Podiatrist
  • Arlington Heights, IL
National Provider Identifier
1821182361
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016004842 Issued in IL
Practice address
880 West Central Rd - Suite 3500
Midwest Foot & Ankle Clinics
Arlington Heights, IL 60005
Phone
(847) 398-8637
Fax
(847) 398-4349
NPI assigned
Oct 2, 2006
Last updated
Dec 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016004842 IL Primary

Addresses

Primary practice location

880 West Central Rd - Suite 3500
Midwest Foot & Ankle Clinics
Arlington Heights, IL 60005

Mailing address

880 West Central Rd - Suite 3500
Midwest Foot & Ankle Clinics
Arlington Heights, IL 60005
Phone (847) 398-8637

Other identifiers 2

IdentifierTypeStateIssuer
016004842OtherILIL STATE LICENSE #
016004842MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000088 IL Practitioner - Podiatry 6305816679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Foot and Ankle ClinicsGroup PAC ID 5890873475, 4 clinicians

Practice addresses (Care Compare)

1675 S Arlington Heights Rd
Suite 101
Arlington Heights, IL 60005-3769
Phone (847) 398-8637

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as individual
Quality
62.34
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue239
Removal of skin lesions1-10
Removal of nail tissue260
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Physical Therapy LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: s.khalid.husain@mfaac-il.direct.office.nextgen.com

Organizations & group practices 2

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 5

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1821182361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 WEST CENTRAL RD - SUITE 3500",
            "address_2": "MIDWEST FOOT & ANKLE CLINICS",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-398-8637",
            "fax_number": "847-398-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 WEST CENTRAL RD - SUITE 3500",
            "address_2": "MIDWEST FOOT & ANKLE CLINICS",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-398-8637",
            "fax_number": "847-398-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "S",
        "middle_name": "KHALID",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE #",
            "identifier": "016004842",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004842",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.