Individual provider Active NPI

Islam Khaled Hussein, MD

  • Psychiatry Physician
  • Hines, IL
National Provider Identifier
1821612185
Registry record updated Feb 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036161227 Issued in IL
Practice address
1200 S 1St Ave
Hines, IL 60141-0800
Phone
(708) 338-7400
NPI assigned
Jun 2, 2020
Last updated
Feb 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 125076912 IL
Psychiatry Physician 2084P0800X 036161227 IL Primary

Addresses

Primary practice location

1200 S 1St Ave
Hines, IL 60141-0800

Mailing address

2501 Chatham Rd # 4924
Springfield, IL 62704-4188
Phone (773) 854-4179

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
I20220920003397 IL Practitioner - Psychiatry 5395120711 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036161227ILMDPsychiatry Physician
125076912ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ranganathan T LTD Psychiatry CurrentSince Jul 1, 2024 Accepting new patients
Ascended Healthcare Group PLLC Psychiatry Current Accepting new patients
Metropolitan Behavioral Associates, Inc. Psychiatry PastSince Jul 16, 2018 Accepting new patients

Locations

555 Wilson Ln
Des Plaines, IL 60016
Phone (212) 243-5565

2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769904000000",
    "number": "1821612185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD # 4924",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "773-854-4179",
            "fax_number": "708-894-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S 1ST AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601410800",
            "telephone_number": "708-338-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "ISLAM",
        "middle_name": "KHALED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2026-02-01",
        "certification_date": "2026-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125076912",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036161227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hines, IL

Sources for this page

Verify at the official NPI Registry.