NPIMap

Organization Active NPI

Kassar MD Inc

  • Pediatrics Physician
  • Burr Ridge, IL
National Provider Identifier
1962851956
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A422-2807-8274 Issued in IL
Legal business name
KASSAR MD INC
Practice address
8220 Ridgepoint Dr
Burr Ridge, IL 60527-5983
Phone
(630) 456-0708
NPI assigned
Jun 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Mr. Moqueet Syed
Title
Credentialing Manager
Phone
(630) 827-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A422-2807-8274 IL Primary

Addresses

Primary practice location

8220 Ridgepoint Dr
Burr Ridge, IL 60527-5983

Mailing address

8220 Ridgepoint Dr
Burr Ridge, IL 60527-5983
Phone (630) 456-0708

Other identifiers 1

IdentifierTypeStateIssuer
A422-2807-8274OtherILLICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1962851956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 RIDGEPOINT DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275983",
            "telephone_number": "630-456-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 RIDGEPOINT DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275983",
            "telephone_number": "630-456-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASSAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "MOQUEET",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "630-827-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "A422-2807-8274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A422-2807-8274",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.