Individual provider Active NPI

Muhammad Rafiq, M.D

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1851316376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
1901 W. Harrison St.
ASC Clinic
Chicago, IL 60612
Phone
(312) 864-6500
Fax
(312) 864-6350
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

1901 W. Harrison St.
ASC Clinic
Chicago, IL 60612

Mailing address

5825 Ridgewood Dr
Western Springs, IL 60558-2131
Phone (708) 784-1916

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
I20040422001071 IL Practitioner - Internal MedicinePractitioner - General Practice 4981690146 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-089399ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Internal Medicine CurrentSince Nov 4, 2010 Accepting new patients
Cook County Current Accepting new patients
Cook County CurrentSince Nov 4, 2010 Accepting new patients
Physician House-Call Services, Inc Past Accepting new patients
Home MD LLC. Past Accepting new patients
Advanced Health & Physicians Internal Medicine Past Accepting new patients

Locations

1900 W Polk St
Rm G16
Chicago, IL 60612

2020 W Harrison St
Chicago, IL 60612
Phone (312) 572-4500

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851316376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 RIDGEWOOD DR",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605582131",
            "telephone_number": "708-784-1916",
            "fax_number": "708-784-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W. HARRISON ST.",
            "address_2": "ASC CLINIC",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-864-6500",
            "fax_number": "312-864-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIQ",
        "first_name": "MUHAMMAD",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.