FAKHRUDIN AASEEMAH MOHAMED (M.D) – Family Medicine Physician, NPI 1952782518

FAKHRUDIN AASEEMAH MOHAMED (M.D) is a healthcare provider. based in Bridgeview, Illinois. specializing in Family Medicine Physician. They hold the professional credentials M.D. They hold a License No. 036144546 (IL). The NPI Number for FAKHRUDIN AASEEMAH MOHAMED (M.D) is 1952782518

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
FAKHRUDIN AASEEMAH MOHAMED (M.D)
NPI
1952782518
Phone
(773) 710-8081
Address
7505 W 72ND ST
Enumeration Date
9 June 2015
Last Update Date
28 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4698149523
Graduation Year
2012 (14 years ago)
PAC ID
4688924491
Group Practice PAC ID
0547487779
Professional Enrollment ID
I20191014001718

Contacts

Other Endpoint
Allen
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

Provider Addresses for FAKHRUDIN AASEEMAH MOHAMED (M.D)

  • 7505 W 72ND ST

    BRIDGEVIEW, IL 604551196

    Phone: (773) 710-8081

    Type: Mailing

  • 940 W STACY RD

    ALLEN, TX 750135214

    Phone: (214) 547-0700

    Fax: (972) 992-2428

    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: 2019-10-14

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
I20191014001718IFamily PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60455)

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Reviews

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Frequently asked questions

What federal number belongs to FAKHRUDIN AASEEMAH MOHAMED (M.D)?
The federal identifier for FAKHRUDIN AASEEMAH MOHAMED (M.D) is NPI 1952782518.
Is FAKHRUDIN AASEEMAH MOHAMED (M.D) active in the national directory?
FAKHRUDIN AASEEMAH MOHAMED (M.D)'s public NPI profile is in an active state.
Does FAKHRUDIN AASEEMAH MOHAMED (M.D) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for FAKHRUDIN AASEEMAH MOHAMED (M.D). Clinical services aligned with this taxonomy classification.
Where does public data place FAKHRUDIN AASEEMAH MOHAMED (M.D)?
The snapshot lists Bridgeview, Illinois for FAKHRUDIN AASEEMAH MOHAMED (M.D); download NPPES for the complete set.
What if Bridgeview, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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