Individual provider Active NPI

Habiba Seidu-Fuseini, NP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1992037469
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277001081 Issued in IL
Practice address
1629 N Natchez Ave
Chicago, IL 60707-4023
Phone
(630) 926-4225
NPI assigned
Feb 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041270674 IL
Family Nurse Practitioner 363LF0000X 277001081 IL Primary

Addresses

Primary practice location

1629 N Natchez Ave
Chicago, IL 60707-4023

Mailing address

722 N Emroy Ave
Elmhurst, IL 60126-1710
Phone (773) 622-4313

Other names 1

  • Habiba B Abdallah Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024000233 IL Practitioner - Nurse Practitioner 0446582449 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1629 N Natchez Ave
Chicago, IL 60707-4023
Phone (630) 926-4225

Hospital & facility affiliations

  • Compmed Home Health, Inc Home health agency, Des Plaines, IL, CCN 147780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041270674ILMDRegistered Nurse
277001081ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Oct 15, 2019 Accepting new patients
Physicians at Your Home, LLC Family CurrentSince May 1, 2020 Accepting new patients
Housecalls Done Wright LTD CurrentSince Oct 6, 2019 Accepting new patients

Locations

4021 W 63rd St
Ste C
Chicago, IL 60629
Phone (312) 504-3277

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4021/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/21599/brand/1/csg/1/fhir/r4
  • Direct secure messaging: habiba.seidu-fuseini.1@29010.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1992037469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 N EMROY AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261710",
            "telephone_number": "773-622-4313",
            "fax_number": "773-290-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 N NATCHEZ AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607074023",
            "telephone_number": "630-926-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDU-FUSEINI",
        "first_name": "HABIBA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041270674",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HABIBA",
            "last_name": "ABDALLAH",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.