Individual provider Active NPI

Furquaan M Isa, MD

  • Diagnostic Radiology Physician
  • Evanston, IL
National Provider Identifier
1962717579
Registry record updated Jul 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036133627 Issued in IL
Practice address
2650 Ridge Ave
Evanston, IL 60201-1718
Phone
(801) 433-8693
NPI assigned
Aug 9, 2010
Last updated
Jul 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036133627 IL Primary

Addresses

Primary practice location

2650 Ridge Ave
Evanston, IL 60201-1718

Mailing address

6144 Washington CT
Morton Grove, IL 60053-2238
Phone (801) 433-8693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160323000556 IL Practitioner - Diagnostic Radiology 1254633027 Reassigns benefits to 3 organizations
Practice locations: Addison, IL
I20201007000929 WI Practitioner - Diagnostic Radiology 1254633027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Midwest Radiology S CGroup PAC ID 0941273320, 24 clinicians
Central Illinois Radiological Associates LTDGroup PAC ID 9436061827, 205 clinicians
Grundy Radiologists IncGroup PAC ID 2961597901, 5 clinicians

Practice addresses (Care Compare)

12701 W 143Rd St
Homer Glen, IL 60491-7715
Phone (815) 300-4536

150 W High St
Morris, IL 60450-1463
Phone (815) 942-2932

17047 La Grange Rd
Orland Park, IL 60487-7227
Phone (815) 300-7764

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 717-8478

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-5522

530 Neglen Oak Ave
Peoria, IL 61636-0001
Phone (309) 655-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Midwest Radiology S C Diagnostic Radiology CurrentSince Oct 12, 2024 Accepting new patients
Portage Radiology, SC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Northshore Ultrasound Services Inc CurrentSince Mar 10, 2020 Accepting new patients
Grundy Radiologists Inc Diagnostic Radiology CurrentSince Jun 24, 2016 Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Progressive Diagnostics Inc CurrentSince Apr 10, 2024 Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients

Locations

39798 Treasury Ctr
Chicago, IL 60694

5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748

3010 Highland Pkwy
Ste 325
Downers Grove, IL 60515
Phone (630) 581-6503

150 W High St
Morris, IL 60450
Phone (815) 942-2129

1890 Silver Cross Blvd
Ste 255
New Lenox, IL 60451
Phone (773) 401-1353

1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106

111 Oakwood Rd
Peoria, IL 61611
Phone (586) 412-4144

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

530neglen Oak Ave
Peoria, IL 61636
Phone (309) 685-1054

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

Interoperability endpoints

  • Direct secure messaging: furquaan.isa.1@15486.direct.athenahealth.com

Organizations & group practices 7

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 6

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436054400000",
    "number": "1962717579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 WASHINGTON CT",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532238",
            "telephone_number": "801-433-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "801-433-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISA",
        "first_name": "FURQUAAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-09",
        "last_updated": "2015-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036133627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.