Active NPI
Nadeem Hanif, M.D.
- Pulmonary Disease Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036 091943
- Practice address
- 535 Roxbury Rd
Suite B600
Rockford, IL 61107-5076 - Phone
- (815) 397-7212
- Fax
- (815) 397-2539
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036 091943 | IL | Primary |
Addresses
Primary practice location
535 Roxbury Rd
Suite B600
Rockford, IL 61107-5076
Mailing address
535 Roxbury Rd
Suite B600
Rockford, IL 61107-5076
Phone (815) 397-7212
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036 091943 | Medicaid | IL | |
| 101 32066 | Other | IL | BLUE CROSS BLUE SHIELD |
| P00001224 | Other | IL | RAILROAD MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
444 Roxbury Rd
Rockford, IL 61107-5059
Phone (815) 398-3000
535 Roxbury Rd
Rockford, IL 61107-5076
Phone (815) 387-1717
5666 E State St
Rockford, IL 61108-2425
Phone (815) 921-8929
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Saint Anthony Medical Center
- Osf Saint Elizabeth MDL Ctr
- Osf Saint Katharine Medical Center
- Rochelle Community Hospital
- FHN Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036 091943 | IL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| KSB Medical Group, Inc. | Past | Accepting new patients | |
| KSB Medical Group, Inc. | Past | Accepting new patients |
Locations
215 E 1st St
Ste 117
Dixon, IL 61021
Phone (815) 285-5900
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
5668 E State St
Ste B600
Rockford, IL 61108
Phone (815) 397-7212
535 Roxbury Rd
Ste B600
Rockford, IL 61107
Phone (815) 397-7212
444 Roxbury Rd
#12471
Rockford, IL 61107
535 Roxbury Rd
Rockford, IL 61107
Phone (815) 387-1717
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Family Medicine Physician
- Dixon, IL
- NPI 1073592119
-
- Eyewear Supplier
- Dixon, IL
- NPI 1306814603
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- Critical Access Hospital
- Rochelle, IL
- NPI 1821053216
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1972617181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 ROXBURY RD",
"address_2": "SUITE B600",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075076",
"telephone_number": "815-397-7212",
"fax_number": "815-397-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 ROXBURY RD",
"address_2": "SUITE B600",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075076",
"telephone_number": "815-397-7212",
"fax_number": "815-397-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANIF",
"first_name": "NADEEM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036 091943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036 091943",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "101 32066",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00001224",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.