RUKSANA S NAZNEEN (M. D.) – Family Medicine Physician, NPI 1063432474
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
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Provider Addresses for RUKSANA S NAZNEEN (M. D.)
1625, East 75th Street, South Shore, Chicago, Hyde Park Township, Cook County, Illinois, 60649, United States
CHICAGO, IL 606493603
Phone: (773) 947-7310
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050419000492 | I | Family Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 16 | $0 |
Insurance plans in this area (ZIP 60649)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | IL | |
| Diagnostic Radiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Family Practice | IL | |
| Orthopedic Surgery | IL | |
| Internal Medicine | IL | |
| Internal Medicine, Hospitalist, Infectious Disease, Internal Medicine | WI | |
| Family Practice, Geriatric Medicine, Hospice/Palliative Care | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| Family Practice | IL | |
| Family Practice | IL |
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