Individual provider Active NPI

Raheel K Naseeruddin, MD

  • Internal Medicine Physician
  • Newark, NJ
National Provider Identifier
1851786396
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1851786396 Issued in NJ
Practice address
111 Central Ave
Newark, NJ 07102-1909
Phone
(973) 877-5465
NPI assigned
Apr 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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 1851786396 NJ Primary

Addresses

Primary practice location

111 Central Ave
Newark, NJ 07102-1909

Mailing address

111 Central Ave
Newark, NJ 07102-1909
Phone (973) 877-5465

Other practice location 1

617 W Clairemont Ave
Eau Claire, WI 54701-6223
Phone (715) 839-5175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH, IN, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230629000352 IL Practitioner - Internal Medicine 3577870393 Reassigns benefits to 6 organizations
I20251120002084 OH Practitioner - Internal Medicine 3577870393 Reassigns benefits to 1 organization
I20251202001337 IN Practitioner - Internal Medicine 3577870393 Reassigns benefits to 2 organizations
I20260514000351 PA Practitioner - Internal Medicine 3577870393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians
Ignite Hospitalists, LLCGroup PAC ID 7719460328, 11 clinicians

Practice addresses (Care Compare)

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 756-1521

1325 N Highland Ave
Aurora, IL 60506-1449
Phone (630) 859-2222

Hospital & facility affiliations

  • Valley West Community Hospital Hospital, Sandwich, IL, CCN 141340
  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286
  • Presence Mercy Medical Center Hospital, Aurora, IL, CCN 140174

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1851786396NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
United Wound Care Institute-Illinois Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Patel Family Medicine LLC CurrentSince Oct 26, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Jun 1, 2023 Accepting new patients
Nova Medico S.C. CurrentSince Jan 1, 2025 Accepting new patients
Central Dupage Physician Group Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
United Wound & Vascular Institute Ohio PLLC Internal Medicine CurrentSince Sep 11, 2025 Accepting new patients

Locations

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

Dept 5777
Carol Stream, IL 60122

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

2020 Calamos Ct
Ste 250
Naperville, IL 60563

1480 Renaissance Dr
Ste 211
Park Ridge, IL 60068
Phone (847) 296-6161

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

105 Water St
Plymouth, IN 46563
Phone (574) 540-2052

6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (330) 344-9030

150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13629/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1851786396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 W Clairemont Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016223",
            "country_code": "US",
            "telephone_number": "715-839-5175",
            "fax_number": "715-839-5176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASEERUDDIN",
        "first_name": "RAHEEL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "1851786396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.