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HARIS MEDICAL GROUP LLC
NPI 1710352091
Internal Medicine - Nephrology in Addison, IL

Active since December 11, 2015
240 E LAKE ST STE 102, ADDISON, IL 60101(630) 782-9780(630) 782-9781 Get Directions Write a Review

NPPES record last updated: April 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 5, 2025, Apr 22, 2022, Dec 11, 2015 (3 updates tracked since 2015).

About Haris Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARIS MEDICAL GROUP LLC (NPI 1710352091) is a healthcare organization registered as a nephrology in Addison, Illinois and active in the NPI registry since December 2015. The organization maintains 2 additional practice locations and lists Jabeen Fatima, Manager, as its authorized official.

NPPES Registry Identity

NPI1710352091
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameHARIS MEDICAL GROUP LLC
Location Address240 E LAKE ST STE 102Addison, IL 60101-2873
Mailing Address1252 Ogden Ave Ste BDowners Grove, IL 60515-2740 · (630) 847-7880 · Fax (630) 559-9004
Phone(630) 782-9780
Fax(630) 782-9781
Organization SubpartNo
Authorized OfficialJabeen FatimaManager · (630) 847-7880
Enumeration DateDecember 11, 2015
Last NPPES UpdateApril 5, 20253 updates tracked since enumeration
NPPES CertifiedApril 5, 2025
✔ NPI 1710352091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
240 E LAKE ST STE 102, Addison, IL 60101
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11252 Ogden Ave Ste BDowners Grove, IL 60515-2740 · Phone (630) 782-9780 · Fax (630) 782-9781
Location 21127 S ARLINGTON HTS RDARLINGTON HTS, IL 60005 · Phone (630) 782-9780 · Fax (630) 782-9781

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haris Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Haris Medical Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jabeen Fatima
Emergency Medicine
NPI 1497301832
240 E LAKE ST STE 102
Addison, IL 60101
(630) 782-9780
✔ PECOS✔ Accepts MedicareSame address
Mohammad Vaseemuddin, M.D.
Family Practice
NPI 1952453995
240 E LAKE ST STE 102
Addison, IL 60101
(630) 782-9780
✔ PECOS✔ Accepts MedicareSame address
Nina Defrias, FNP-C
Nurse Practitioner
NPI 1851961916
7124 W GABRESKI LN
Monee, IL 60449
(708) 710-6879
✔ PECOS36 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haris Medical Group LLC's NPI number?

The NPI number for Haris Medical Group LLC is 1710352091. It was assigned to this organization in the NPPES registry on December 11, 2015.

Where is Haris Medical Group LLC located?

Haris Medical Group LLC is located at 240 E Lake St Ste 102, Addison, IL 60101. The listed phone number is (630) 782-9780.

What is Haris Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Haris Medical Group LLC enrolled in Medicare?

Yes. Haris Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Haris Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Haris Medical Group LLC, in Emergency Medicine, Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Haris Medical Group LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Haris Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Haris Medical Group LLC was last updated on April 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.