Individual provider Active NPI

Abdulhamid S Keswani, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1861439663
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036090214 Issued in IL
Practice address
7531 S Stony Island Ave
Chicago, IL 60649
Phone
(855) 276-5212
NPI assigned
Jun 1, 2006
Last updated
Oct 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036090214 IL Primary

Addresses

Primary practice location

7531 S Stony Island Ave
Chicago, IL 60649

Mailing address

2158 45TH St # 519
Highland, IN 46322-3742
Phone (855) 276-5212

Other identifiers 1

IdentifierTypeStateIssuer
036090214MedicaidIL

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
I20070312000039 IL Practitioner - Family Practice 0840109955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friedell Clinic, S. C.Group PAC ID 2567366164, 24 clinicians

Practice addresses (Care Compare)

1625 E 75TH St
FL 1
Chicago, IL 60649-3603

7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-7764

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Services, LTD. Family Medicine CurrentSince Jul 1, 1998 Accepting new patients
Friedell Clinic, S. C. Family Medicine CurrentSince Jan 1, 1996 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
Chicago Home Healthcare Agency LTD PastSince Mar 1, 2002 Accepting new patients

Locations

1625 E 75th St
Chicago, IL 60649
Phone (773) 947-2828

190 E Delaware Pl
Chicago, IL 60611
Phone (312) 944-0063

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

1730 Park St
Ste 101
Naperville, IL 60563
Phone (630) 718-0200

2158 45th St
Highland, IN 46322
Phone (219) 554-0500

Interoperability endpoints

  • Direct secure messaging: abdulhamidkeswanit@jph.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1861439663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 45TH ST # 519",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223742",
            "telephone_number": "855-276-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60649",
            "telephone_number": "855-276-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESWANI",
        "first_name": "ABDULHAMID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036090214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090214",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.