FATIMA NURUL HASAN (PA-C) – Physician Assistant, NPI 1225641343

FATIMA NURUL HASAN (PA-C) is a healthcare provider. based in Huntley, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085008109 (IL). The NPI Number for FATIMA NURUL HASAN (PA-C) is 1225641343

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
FATIMA NURUL HASAN (PA-C)
NPI
1225641343
Phone
(815) 338-6600
Address
10350 HALIGUS RD STE A
Enumeration Date
28 August 2020
Last Update Date
19 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
6204294440
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20230621001808
Address ID
IL600771057SK4901XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for FATIMA NURUL HASAN (PA-C)

  • 10350 HALIGUS RD STE A

    HUNTLEY, IL 60142

    Phone: (815) 338-6600

    Fax: (847) 802-7162

    Type: Location

  • 1610 CAMBRIA LN

    ALGONQUIN, IL 601026079

    Phone: (951) 897-6066

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: UCB, Inc. ($43).

Total Amount

$86

General + Research + Ownership

Payments

3

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-06-21

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
I20230621001808IPhysician AssistantILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7170$0
99214Established patient office or other outpatient visit, 30-39 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 60142)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

Does FATIMA NURUL HASAN (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — FATIMA NURUL HASAN (PA-C) uses 1225641343.
Can I rely on FATIMA NURUL HASAN (PA-C) being an active provider?
As of the registry snapshot, FATIMA NURUL HASAN (PA-C) is marked active.
What is FATIMA NURUL HASAN (PA-C)'s primary classification?
Physician Assistant is the headline specialty for FATIMA NURUL HASAN (PA-C) here. Clinical services aligned with this taxonomy classification.
Does FATIMA NURUL HASAN (PA-C) list a practice location?
Patients near Huntley, Illinois may find FATIMA NURUL HASAN (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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