DR. HARRIS WAHEED (MD) – Family Medicine Physician, NPI 1164511580

DR. HARRIS WAHEED (MD) is a healthcare provider. based in Bourbonnais, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 36116934 (IL). The NPI Number for DR. HARRIS WAHEED (MD) is 1164511580

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. HARRIS WAHEED (MD)
NPI
1164511580
Phone
(815) 802-0000
Address
PO BOX 95
Enumeration Date
12 October 2006
Last Update Date
20 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6303206871
Graduation Year
2001 (25 years ago)
PAC ID
2769481191
Group Practice PAC ID
4981988771
Professional Enrollment ID
I20061213000344
Address ID
IL601813952OA1XXXXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for DR. HARRIS WAHEED (MD)

  • PO BOX 95

    BOURBONNAIS, IL 609140095

    Phone: (815) 802-0000

    Fax: (815) 935-1000

    Type: Mailing

  • 70, Meadowview Center, Meadowview Shopping Center, Kankakee, Kankakee County, Illinois, 60901, United States

    SUITE 200

    KANKAKEE, IL 609012047

    Phone: (815) 802-0000

    Fax: (815) 935-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 266 Open Payments records for all available years, with a total value of $4,522.

Total Amount is formed as General ($4,522) + Research ($0) + Ownership ($0) = $4,522.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($922).

Total Amount

$4,522

General + Research + Ownership

Payments

266

Total payment records

General Amount

$4,522

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2006-12-13

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
I20061213000344IFamily PracticeILTBD

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 minutes477145$0
87804Detection test by immunoassay with direct visual observation for influenza virus3617$0
G0008Administration of influenza virus vaccine3434$0
90682Influenza vaccine, quadrivalent derived from recombinant dna3232$0
99496Transitional care management services for problem of high complexity3021$0
View full utilization report →

Insurance plans in this area (ZIP 60914)

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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: 4981988771View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Physical Medicine And Rehabilitation, Pain ManagementIN
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationTX
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Hospitalist, Internal MedicineIL

Reviews

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Frequently asked questions

Does DR. HARRIS WAHEED (MD) have a public NPI I can cite?
Public records show DR. HARRIS WAHEED (MD) under NPI 1164511580.
Does the public listing show DR. HARRIS WAHEED (MD) as active?
DR. HARRIS WAHEED (MD)'s NPI record reflects an active status in NPPES.
What type of care does DR. HARRIS WAHEED (MD) provide?
DR. HARRIS WAHEED (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. HARRIS WAHEED (MD)?
The directory associates DR. HARRIS WAHEED (MD) with Bourbonnais, Illinois. Check all listed addresses for suites or satellite offices.
Can I export DR. HARRIS WAHEED (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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