Active NPI
Nayyar Afroz, PHYSICIAN
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1881668895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036099126
- Practice address
- 333 S State St
Revenue #200, Chicago Dept of Public Health
Chicago, IL 60604 - Phone
- (312) 747-9442
- Fax
- (312) 747-9447
- NPI assigned
- Feb 15, 2006
- Last updated
- Nov 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036099126 | IL | Primary |
Addresses
Primary practice location
333 S State St
Revenue #200, Chicago Dept of Public Health
Chicago, IL 60604
Mailing address
333 S State St
Revenue #200, Chicago Dept of Public Health
Chicago, IL 60604
Phone (312) 747-9443
Other practice location 1
2016 S Main St
Maryville, MO 64468-2655
Phone (660) 726-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036099126 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roueen Rafeyan MD LTD | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Chicago, IL
- NPI 1508048414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1881668895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S STATE ST",
"address_2": "REVENUE #200, CHICAGO DEPT OF PUBLIC HEALTH",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60604",
"telephone_number": "312-747-9443",
"fax_number": "312-747-9447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S STATE ST",
"address_2": "REVENUE #200, CHICAGO DEPT OF PUBLIC HEALTH",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60604",
"telephone_number": "312-747-9442",
"fax_number": "312-747-9447"
}
],
"practiceLocations": [
{
"address_1": "2016 S Main St",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "MO",
"postal_code": "644682655",
"country_code": "US",
"telephone_number": "660-726-2600",
"fax_number": "660-726-7911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AFROZ",
"first_name": "NAYYAR",
"credential": "PHYSICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036099126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.