NADEEM ANSARI (MD) – Internal Medicine Physician, NPI 1073651808

NADEEM ANSARI (MD) is a healthcare provider. based in Bourbonnais, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036-071794 (IL). The NPI Number for NADEEM ANSARI (MD) is 1073651808

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
NADEEM ANSARI (MD)
NPI
1073651808
Phone
(815) 935-2784
Address
400 RIVERSIDE DR STE 2100
Enumeration Date
2 February 2007
Last Update Date
11 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159351100
Graduation Year
1982 (44 years ago)
PAC ID
4587567136
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20120606000036
Address ID
IL609145004BO400XXDRXX306
Telehealth
Yes

Contacts

Secure Messaging
nansari6685@Direct.riversidehealthcare.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for NADEEM ANSARI (MD)

  • Riverside Drive, Bourbonnais, Kankakee County, Illinois, 60914, United States

    BOURBONNAIS, IL 609145004

    Phone: (815) 935-2784

    Fax: (815) 935-5687

    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)

CMS reports 76 Open Payments records for all available years, with a total value of $1,636.

Total Amount is formed as General ($1,636) + Research ($0) + Ownership ($0) = $1,636.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Novo Nordisk Inc ($218).

Total Amount

$1,636

General + Research + Ownership

Payments

76

Total payment records

General Amount

$1,636

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2012-06-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120606000036IInternal MedicineILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes827458$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit295295$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg25852$0
G0008Administration of influenza virus vaccine163155$0
90662Influenza vaccine split virus, preservative free152144$0
View full utilization report →

Insurance plans in this area (ZIP 60914)

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Provider's Procedures

NADEEM ANSARI (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL20610Aspiration and/or injection of large joint or joint capsule10170
INTERNAL MEDICINEIL90670Pneumococcal vaccine for injection into muscle106106

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
-IL
-IL
-IL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for NADEEM ANSARI (MD)?
NADEEM ANSARI (MD) — NPI 1073651808 — is the standard way to identify this listing.
Does CMS list NADEEM ANSARI (MD) as active?
Yes — NADEEM ANSARI (MD) is active in the NPI listing used on this page.
What is NADEEM ANSARI (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for NADEEM ANSARI (MD) here. Clinical services aligned with this taxonomy classification.
Does NADEEM ANSARI (MD) list a practice location?
Patients near Bourbonnais, Illinois may find NADEEM ANSARI (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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