Active NPI
Hannia Farooqi
- Internal Medicine Physician
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1972169274
- Practice address
- 20201 Crawford Ave
Olympia Fields, IL 60461-1010 - Phone
- (708) 747-4000
- NPI assigned
- May 13, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1972169274 | IL | Primary |
Addresses
Primary practice location
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Mailing address
2800 W 95TH St
Evergreen Park, IL 60805-2701
Phone (708) 422-6200
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221110000482 | IL | Practitioner - Internal Medicine | 7618204850 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 422-6200
Hospital & facility affiliations
- Osf Little Company of Mary Medical Center
- Advocate Christ Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1972169274 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Illinois, P.C. | Internal Medicine | Current | Accepting new patients |
| Inpatient Consultants of Illinois, P.C. | Internal Medicine | Current | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Hinsdale, IL
- NPI 1548442569
IL, Internal Medicine
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1003850843
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1972169274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052701",
"telephone_number": "708-422-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20201 CRAWFORD AVE",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611010",
"telephone_number": "708-747-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAROOQI",
"first_name": "HANNIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "1972169274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.