NISHAT FATIMA (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1760898936

NISHAT FATIMA (MD) is a healthcare provider. based in Carbondale, Illinois. specializing in ENDOCRINOLOGY. They hold the professional credentials MD. They hold a License No. 036.142329 (IL). The NPI Number for NISHAT FATIMA (MD) is 1760898936

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
NISHAT FATIMA (MD)
NPI
1760898936
Phone
(618) 457-5200
Address
PO BOX 3988
Enumeration Date
8 July 2014
Last Update Date
22 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473189368
Graduation Year
2012 (14 years ago)
PAC ID
6800191974
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20190626002503
Address ID
IL600681005PA1775XRDXX300
Telehealth
Yes

Contacts

Secure Messaging
nfatima28216@sih.direct-ci.com
Secure Messaging
nfatima356447@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

455 ENDOCRINOLOGY in IL

Provider Addresses for NISHAT FATIMA (MD)

  • PO BOX 3988

    CARBONDALE, IL 629023988

    Phone: (618) 457-5200

    Type: Mailing

  • 2601 W MAIN ST

    CARBONDALE, IL 629011031

    Phone: (618) 549-5361

    Fax: (618) 351-4878

    Type: Location

  • 29373 NETWORK PL

    CHICAGO, IL 606737884

    Phone: (847) 390-5900

    Fax: (262) 948-5735

    Type: Mailing

  • 1775 BALLARD RD

    PARK RIDGE, IL 600681005

    Phone: (847) 318-2400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2023-06-17 • Largest payer in this snapshot: Novo Nordisk Inc ($60).

Total Amount

$60

General + Research + Ownership

Payments

1

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$60
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: 2019-06-26

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
I20190626002503IEndocrinologyILTBD

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 minutes220155$0
36415Insertion of needle into vein for collection of blood sample151116$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes9633$0
99204New patient office or other outpatient visit, 45-59 minutes7070$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5823$0
View full utilization report →

Insurance plans in this area (ZIP 62902)

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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: 7810800935View full group profile

Reviews

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Frequently asked questions

What is NISHAT FATIMA (MD)'s NPI number?
NISHAT FATIMA (MD)'s NPI is 1760898936 — the number used across U.S. healthcare to identify this provider.
Is NISHAT FATIMA (MD) shown as active in public data?
Registry records indicate NISHAT FATIMA (MD) maintains an active NPI.
What area of care is associated with NISHAT FATIMA (MD)?
NISHAT FATIMA (MD)'s record emphasizes Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Is NISHAT FATIMA (MD) located near Carbondale?
NISHAT FATIMA (MD) currently maps to Carbondale, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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