Active NPI
Habiba Seidu-Fuseini, NP
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277001081
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041270674 | IL | MD | Registered Nurse |
| 277001081 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Physicians at Your Home, LLC | Family | Current | Accepting new patients |
| Housecalls Done Wright LTD | Current | 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
- https://api.platform.athenahealth.com/4021/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/21599/brand/1/csg/1/fhir/r4
- 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.
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1639790884
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1699317693
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Des Plaines, IL
- NPI 1407809379
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.