CRESCENT PRIMARY CARE PHYSICIANS PC – Family Medicine Physician, NPI 1104812742

CRESCENT PRIMARY CARE PHYSICIANS PC is a healthcare provider. based in Naperville, Illinois. specializing in Family Medicine Physician. The NPI Number for CRESCENT PRIMARY CARE PHYSICIANS PC is 1104812742

Main info

Organization
Name
CRESCENT PRIMARY CARE PHYSICIANS PC
NPI
1104812742
Phone
(630) 922-1400
Address
2132 DEEP WATER LN
Authorized Official
MRS. FOWZIA S GHOUSE PHYSICIAN MD
Enumeration Date
20 September 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for CRESCENT PRIMARY CARE PHYSICIANS PC

  • 2132, Deep Water Lane, Naperville, DuPage County, Illinois, 60564, United States

    STE 228

    NAPERVILLE, IL 605648498

    Phone: (630) 922-1400

    Fax: (630) 904-7378

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 60564)

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Reviews

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Frequently asked questions

Where can patients find CRESCENT PRIMARY CARE PHYSICIANS PC's NPI?
You can confirm CRESCENT PRIMARY CARE PHYSICIANS PC with NPI 1104812742; it appears in the national provider directory.
Is CRESCENT PRIMARY CARE PHYSICIANS PC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CRESCENT PRIMARY CARE PHYSICIANS PC list a primary specialty?
If you are matching referrals, note Family Medicine Physician for CRESCENT PRIMARY CARE PHYSICIANS PC. Clinical services aligned with this taxonomy classification.
Does CRESCENT PRIMARY CARE PHYSICIANS PC practice in Illinois?
You will see Naperville, Illinois on file for CRESCENT PRIMARY CARE PHYSICIANS PC alongside any extra practice locations.
Is CRESCENT PRIMARY CARE PHYSICIANS PC a real provider?
This page reflects official NPPES data for NPI 1104812742. Always confirm identity and privileges with the practice and licensing boards.

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