Individual provider Active NPI

Hussam Suradi, M.D.

  • Interventional Cardiology Physician
  • Chicago, IL
National Provider Identifier
1992962450
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036-132580 Issued in IL
Practice address
1725 W Harrison St Ste 1159
Chicago, IL 60612-3883
Phone
(312) 942-5020
Fax
(312) 563-2564
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-132580 IL
Internal Medicine Physician 207R00000X 01068701A IN
Adult Congenital Heart Disease Physician 207RA0002X 036-132580 IL
Cardiovascular Disease Physician 207RC0000X 01068701A IN
Cardiovascular Disease Physician 207RC0000X 036-132580 IL
Interventional Cardiology Physician 207RI0011X 01068701A IN
Interventional Cardiology Physician 207RI0011X 036-132580 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 1159
Chicago, IL 60612-3883

Mailing address

1725 W Harrison St Ste 1159
Chicago, IL 60612-3883
Phone (312) 942-5020

Other practice location 1

12251 S 80th Ave Ste 1520
Palos Heights, IL 60463-1290
Phone (708) 923-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140717000225 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1254557887 Reassigns benefits to 3 organizations
I20170405001391 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional CardiologyPractitioner - Adult Congenital Heart Disease (Achd) 1254557887 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400

1411 S Michigan Ave
Chicago, IL 60605-2810
Phone (312) 454-2700

15900 W 101St Ave
Rush University Medical Center
Dyer, IN 46311-3065
Phone (312) 942-5020

2400 N Rockton Ave
Rockford, IL 61103-3655
Phone (815) 971-5000

6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610

Hospital & facility affiliations

  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063
  • Uw Health Hospital, Rockford, IL, CCN 140228
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting22
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-132580ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2024 Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Dec 25, 2018 Accepting new patients
Methodist Hospitals Cardiographics, LLC Cardiovascular Disease CurrentSince May 1, 2015 Accepting new patients
Swedishamerican Hospital CurrentSince Mar 8, 2022 Accepting new patients
Rockford Health Physicians CurrentSince Mar 17, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2024 Accepting new patients
Swedishamerican Hospital Internal Medicine CurrentSince Mar 8, 2022 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

75 Remittance Dr
Dept 1611
Chicago, IL 60675

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

600 S Paulina St
Chicago, IL 60612
Phone (312) 942-0312

1725 W Harrison St
Ste 1159
Chicago, IL 60612
Phone (312) 942-5020

1411 S Michigan Ave
Chicago, IL 60605
Phone (312) 454-2700

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

12251 S 80th Ave
Ste 1520
Palos Heights, IL 60463
Phone (708) 923-3936

2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

15900 W 101st Ave
Dyer, IN 46311
Phone (219) 365-6333

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

9200 Calumet Ave
Ste E107
Munster, IN 46321
Phone (219) 806-6585

Interoperability endpoints

  • Direct secure messaging: hsuradi59159@direct.rush.rush-health.com

Organizations & group practices 8

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 6

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1992962450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 1159",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123883",
            "telephone_number": "312-942-5020",
            "fax_number": "312-563-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 1159",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123883",
            "telephone_number": "312-942-5020",
            "fax_number": "312-563-2564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12251 S 80th Ave Ste 1520",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631290",
            "country_code": "US",
            "telephone_number": "708-923-4200",
            "fax_number": "708-923-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURADI",
        "first_name": "HUSSAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-132580",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01068701A",
            "primary": false
        },
        {
            "code": "207RA0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adult Congenital Heart Disease",
            "state": "IL",
            "license": "036-132580",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01068701A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-132580",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01068701A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036-132580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.