DR. THANZEELA KAUSAR MOHIDEEN (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1336566538

DR. THANZEELA KAUSAR MOHIDEEN (M.D.) is a healthcare provider. based in Park ridge, Illinois. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 125.064632 (IL). The NPI Number for DR. THANZEELA KAUSAR MOHIDEEN (M.D.) is 1336566538

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. THANZEELA KAUSAR MOHIDEEN (M.D.)
NPI
1336566538
Phone
(847) 318-9340
Address
1775 BALLARD RD
Enumeration Date
25 March 2014
Last Update Date
4 September 2019

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2198364563
Graduation Year
2014 (12 years ago)
PAC ID
5799061107
Group Practice PAC ID
3678737012
Professional Enrollment ID
I20180817002916
Address ID
IN463212901MU901XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

596 PHYSICAL MEDICINE AND REHABILITATION in IL

Provider Addresses for DR. THANZEELA KAUSAR MOHIDEEN (M.D.)

  • 1775 BALLARD RD

    PARK RIDGE, IL 600681005

    Phone: (847) 318-9340

    Type: Mailing

  • 1775 Ballard Rd

    Park Ridge, IL 600681005

    Phone: (847) 318-9340

    Type: Location

  • 10215 BROADWAY

    CROWN POINT, IN 463078001

    Phone: (219) 661-6100

    Type: Location

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: 2018-08-17

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
I20180817002916IPhysical Medicine And RehabilitationINTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,589355$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes947327$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes295277$0
99238Hospital discharge day management, 30 minutes or less136130$0
99239Hospital discharge day management, more than 30 minutes135132$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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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: 3678737012View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
-IN
Nurse PractitionerIN
-IN
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyIL
Nurse PractitionerIN
-IN
Gynecological Oncology, Obstetrics/GynecologyIN
-IN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What identifier follows DR. THANZEELA KAUSAR MOHIDEEN (M.D.) across health systems?
The NPI 1336566538 uniquely identifies DR. THANZEELA KAUSAR MOHIDEEN (M.D.) in U.S. healthcare data.
Is DR. THANZEELA KAUSAR MOHIDEEN (M.D.)'s NPI status active today?
Active status means DR. THANZEELA KAUSAR MOHIDEEN (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. THANZEELA KAUSAR MOHIDEEN (M.D.)?
NPPES ties DR. THANZEELA KAUSAR MOHIDEEN (M.D.) to Physical Medicine & Rehabilitation Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. THANZEELA KAUSAR MOHIDEEN (M.D.)?
DR. THANZEELA KAUSAR MOHIDEEN (M.D.) shows a connection to Park Ridge, Illinois in registry-derived data.
Why is information missing for DR. THANZEELA KAUSAR MOHIDEEN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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