Active NPI
Raheel K Naseeruddin, MD
- Internal Medicine Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1851786396
- 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
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 |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Northwestern Medicine Kishwaukee Hospital
- Presence Mercy Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1851786396 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Internal Medicine | Current | Accepting new patients |
| United Wound Care Institute-Illinois | Internal Medicine | Current | Accepting new patients |
| Patel Family Medicine LLC | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Nova Medico S.C. | Current | Accepting new patients | |
| Central Dupage Physician Group | Internal Medicine | Current | Accepting new patients |
| United Wound & Vascular Institute Ohio PLLC | Internal Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Internal Medicine
-
- Hospitalist Physician
- Aurora, IL
- NPI 1548130883
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Park Ridge, IL
- NPI 1871689208
-
- Clinic/Center
- Plymouth, IN
- NPI 1225348584
-
- Family Medicine Physician
- Independence, OH
- NPI 1477311959
Internal Medicine
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1669257440
-
- Internal Medicine Physician
- Aurora, IL
- NPI 1508677964
-
- Hospitalist Physician
- Bala Cynwyd, PA
- NPI 1386460764
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1598503922
-
- Critical Access Hospital
- Sandwich, IL
- NPI 1184705931
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.