DR. MOHAMMED NASARUDDIN (MD) – Internal Medicine Physician, NPI 1487184875

DR. MOHAMMED NASARUDDIN (MD) is a healthcare provider. based in Chicago, Illinois. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 125071091 (IL). The NPI Number for DR. MOHAMMED NASARUDDIN (MD) is 1487184875

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMMED NASARUDDIN (MD)
NPI
1487184875
Phone
(773) 702-3630
Address
5841 S Maryland Ave
Enumeration Date
18 June 2017
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9286845421
Graduation Year
2017 (9 years ago)
PAC ID
6406279397
Group Practice PAC ID
0345467486
Professional Enrollment ID
I20240124001072
Address ID
AZ853901447WI520XXLNXX300
Telehealth
Yes

Contacts

Secure Messaging
mnasaruddin249609@dulyhealthandcare.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness95
Years active:8State licenses:7Other names

629 NEPHROLOGY in IL

Provider Addresses for DR. MOHAMMED NASARUDDIN (MD)

  • 5841 S Maryland Ave

    Chicago, IL 606371443

    Phone: (773) 702-3630

    Type: Location

  • 110 S Apple Blossom Dr

    Chelan, WA 988168810

    Phone: (303) 390-1940

    Type: Location

  • 1900 Sunrise Dr

    Saint Peter, MN 560825376

    Phone: (303) 390-1940

    Type: Location

  • 530 Bogachiel Way

    Forks, WA 983319120

    Phone: (303) 390-1940

    Type: Location

  • 4309 W Medical Center Dr

    McHenry, IL 600508419

    Phone: (815) 759-4726

    Type: Location

  • 333 E 2nd St

    Richland Center, WI 535811914

    Phone: (608) 647-6321

    Type: Location

  • 1650 4th St SE

    Rochester, MN 559044717

    Phone: (303) 390-1940

    Type: Location

  • 520 Rose Ln

    Wickenburg, AZ 853901447

    Phone: (303) 390-1940

    Type: Location

  • 301 N Main St

    Sheridan, MI 488849235

    Phone: (303) 390-1940

    Type: Location

  • 800 Alder St

    South Bend, WA 985864900

    Phone: (303) 390-1940

    Type: Location

  • Harvester Drive, Burr Ridge, DuPage County, Illinois, 65027, United States

    BURR RIDGE, IL 605276686

    Phone: (773) 702-1150

    Type: Mailing

  • Au Bon Pain, 5841, South Maryland Avenue, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60637, United States

    CHICAGO, IL 606371443

    Phone: (773) 702-3630

    Type: Location

  • PO BOX 713260

    CHICAGO, IL 606771260

    Phone: (630) 469-9200

    Type: Mailing

  • 1860 PAYSPHERE CIR

    CHICAGO, IL 606740018

    Phone: (630) 469-9200

    Type: Mailing

  • 3825 HIGHLAND AVE STE 210

    DOWNERS GROVE, IL 605151561

    Phone: (630) 275-5900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $606.

Total Amount is formed as General ($606) + Research ($0) + Ownership ($0) = $606.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($222).

Total Amount

$606

General + Research + Ownership

Payments

25

Total payment records

General Amount

$606

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

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: 2025-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

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
I20220726002743INephrologyILTBD
I20240123003131INephrologyWITBD
I20240124001072INephrologyAZTBD
I20240206003042INephrologyMNTBD
I20251007003539INephrologyMITBD
I20251015002738INephrologyWATBD
I20251210003611INephrologyTNTBD
I20251223001258INephrologyOHTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes364127$0
36415Insertion of needle into vein for collection of blood sample233107$0
82570Creatinine level to test for kidney function or muscle injury18090$0
80069Kidney function blood test panel17795$0
84156Total protein level, urine14187$0
View full utilization report →

Insurance plans in this area (ZIP 60637)

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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: 0345467486View full group profile
NameSpecialtyState
-CO
Pulmonary Disease, Critical Care (Intensivists), Critical Care (Intensivists), Pulmonary Disease, Internal MedicineWA
Internal MedicineAZ
Hospitalist, Internal Medicine, Osteopathic Manipulative MedicineCO
-CO
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Critical Care (Intensivists)WA
Family PracticeCO
Hospitalist, Internal Medicine, Internal MedicineND
Pulmonary Disease, Pulmonary Disease, Internal MedicineWA
Nurse PractitionerMI

Reviews

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Frequently asked questions

What federal number belongs to DR. MOHAMMED NASARUDDIN (MD)?
The federal identifier for DR. MOHAMMED NASARUDDIN (MD) is NPI 1487184875.
Is DR. MOHAMMED NASARUDDIN (MD)'s NPI currently valid?
The extract we use shows DR. MOHAMMED NASARUDDIN (MD) as active.
What does DR. MOHAMMED NASARUDDIN (MD) treat or focus on?
Patients typically see DR. MOHAMMED NASARUDDIN (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MOHAMMED NASARUDDIN (MD)?
The page summarizes Chicago, Illinois for DR. MOHAMMED NASARUDDIN (MD); expand the address list for detail.
How can I contact DR. MOHAMMED NASARUDDIN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.