Individual provider Active NPI

Faiza Hashmi, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Oak Lawn, IL
National Provider Identifier
1972812774
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
036132893 Issued in IL
Practice address
10837 S Cicero Ave Ste 300
Oak Lawn, IL 60453-6459
Phone
(708) 422-0636
Fax
(708) 424-2164
NPI assigned
Sep 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125058776 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036132893 IL Primary

Addresses

Primary practice location

10837 S Cicero Ave Ste 300
Oak Lawn, IL 60453-6459

Mailing address

12820 S Ridgeland Ave Ste B
Palos Heights, IL 60463-2389
Phone (708) 371-6009

Other practice location 1

2900 N Lake Shore Dr
St Joseph Hospital
Chicago, IL 60657-5640
Phone (773) 665-3200

Other identifiers 1

IdentifierTypeStateIssuer
036132893MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131002000392 IL Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 3779717947 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125058776ILMDInternal Medicine Physician
036132893ILMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Pulmonary Critical Care & Sleep Consultants LLC Internal Medicine CurrentSince May 16, 2018 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2018 Accepting new patients
Advocate Health and Hospitals Corporation Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients

Locations

28592 Network Pl
Chicago, IL 60673

29777 Network Pl
Chicago, IL 60673

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

10604 Southwest Hwy
Ste 107
Chicago Ridge, IL 60415
Phone (708) 371-8006

4440 W 95th St
Ste Aip
Oak Lawn, IL 60453
Phone (708) 684-8000

10837 S Cicero Ave
Ste 300
Oak Lawn, IL 60453
Phone (419) 902-2161

12820 S Ridgeland Ave
Ste B
Palos Heights, IL 60463
Phone (708) 371-8006

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972812774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 S RIDGELAND AVE STE B",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632389",
            "telephone_number": "708-371-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 S CICERO AVE STE 300",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536459",
            "telephone_number": "708-422-0636",
            "fax_number": "708-424-2164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 N Lake Shore Dr",
            "address_2": "St Joseph Hospital",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575640",
            "country_code": "US",
            "telephone_number": "773-665-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASHMI",
        "first_name": "FAIZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125058776",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036132893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036132893",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.