Active NPI
SSD Medical Group Inc
- Internal Medicine Physician
- Huntley, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SSD MEDICAL GROUP INC
- Practice address
- 12151 Regency Pkwy Ste 12165
Huntley, IL 60142-7644 - Phone
- (847) 230-9808
- Fax
- (847) 984-1915
- NPI assigned
- May 11, 2017
- Last updated
- Feb 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shazia Daudi, MD
- Title
- President
- Phone
- (847) 230-9808
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Exclusive Provider Organization | 302F00000X | 336072732 | IL |
Addresses
Primary practice location
12151 Regency Pkwy Ste 12165
Huntley, IL 60142-7644
Mailing address
12151 Regency Pkwy Ste 12165
Huntley, IL 60142-7644
Phone (847) 230-9808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036111912 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drdaudi@direct.practicefusion.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2136922 | SSD Medical Group Inc | Certificate of waiver | Sep 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
12151 Regency Pkwy
Ste 12165
Huntley, IL 60142
Phone (847) 230-9808
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Huntley, IL
- NPI 1235137928
-
- Family Nurse Practitioner
- Elgin, IL
- NPI 1942698980
-
- Family Nurse Practitioner
- Rockford, IL
- NPI 1043810211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771286400000",
"number": "1932635083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12151 REGENCY PKWY STE 12165",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601427644",
"telephone_number": "847-230-9808",
"fax_number": "847-984-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12151 REGENCY PKWY STE 12165",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601427644",
"telephone_number": "847-230-9808",
"fax_number": "847-984-1915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SSD MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A",
"authorized_official_last_name": "DAUDI",
"authorized_official_first_name": "SHAZIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-230-9808",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "IL",
"license": "336072732",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036111912",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drdaudi@direct.practicefusion.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12151 Regency Pkwy Ste 12165",
"city": "Huntley",
"state": "IL",
"country_code": "US",
"postal_code": "601427644",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.