Active NPI
Nafisa D Burhani, MD
- Hematology & Oncology Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036089567
- Practice address
- 2614 W Jefferson St
Joliet, IL 60435 - Phone
- (815) 725-1355
- Fax
- (815) 725-9857
- NPI assigned
- Sep 20, 2005
- Last updated
- Aug 4, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 036089567 | IL | Primary |
Addresses
Primary practice location
2614 W Jefferson St
Joliet, IL 60435
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 830004996 | Other | IL | MEDICARE RR |
| L82399 | Other | IL | MEDICARE INDIV ID# FOR GROUP 336140 |
| 036089567 | Medicaid | IL | |
| L98070 | Other | IL | MEDICARE INDIV ID# FOR GROUP 205474 |
Other names 1
- Mrs. Nafisa D Khokha
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nburhani221113@dulyhealthandcare.direct-ci.com | ||
| Direct Messaging Address | nburhani221113@direct.edward.org | Direct |
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
- Hematology/Oncology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone (708) 226-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036089567 | IL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Medical Specialists of the Palm Beaches Inc | Past | Accepting new patients | |
| Morris Hospital | Past | Accepting new patients | |
| Horn & Bache, P.a. | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
2100 Glenwood Ave
Joliet, IL 60435
Phone (815) 999-3201
2614 W Jefferson St
Joliet, IL 60435
Phone (815) 725-1355
301 Madison St
Ste 207
Joliet, IL 60435
17495 La Grange Rd
Tinley Park, IL 60487
Phone (708) 226-7000
Interoperability endpoints
- nafisab@jolietoncology.direct.varian.com
- nburhani221113@dulyhealthandcare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- General Practice Physician
- Morris, IL
- NPI 1558466268
-
dba Healthfirst of the Palm Beaches
- Family Medicine Physician
- Lake Worth, FL
- NPI 1841371812
-
- Internal Medicine Physician
- Palm Springs, FL
- NPI 1386687580
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Edward Hospital
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
dba Morris Hospital & Healthcare Centers
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1851386460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2614 W JEFFERSON ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "60435",
"telephone_number": "815-725-1355",
"fax_number": "815-725-9857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURHANI",
"first_name": "NAFISA",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036089567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "830004996",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIV ID# FOR GROUP 336140",
"identifier": "L82399",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036089567",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIV ID# FOR GROUP 205474",
"identifier": "L98070",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nburhani221113@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "2614 W Jefferson St",
"city": "Joliet",
"state": "IL",
"country_code": "US",
"postal_code": "60435",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nburhani221113@direct.edward.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2614 W Jefferson St",
"city": "Joliet",
"state": "IL",
"country_code": "US",
"postal_code": "60435",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NAFISA",
"last_name": "KHOKHA",
"middle_name": "D",
"prefix": "MRS.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.