IFATH G. BASHIRUDDIN M.D.S.C.
NPI 1821287293
Specialist in Belleville, IL

NPI Status: Active since October 22, 2007

Contact Information

4550 MEMORIAL DR
SUITE 410
BELLEVILLE, IL
ZIP 62226
Phone: (618) 234-8246
Fax: (618) 234-8271

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  • Organization
  • Specialist

About IFATH G. BASHIRUDDIN M.D.S.C.

Ifath G. Bashiruddin M.d.s.c. is a provider established in Belleville, Illinois operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1821287293 assigned on October 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Deborah Haake (Business Manager)

NPI
1821287293
Provider Name
IFATH G. BASHIRUDDIN M.D.S.C.
Entity Type
Organization
Location Address
4550 MEMORIAL DR SUITE 410 BELLEVILLE, IL 62226
Location Phone
(618) 234-8246
Location Fax
(618) 234-8271
Mailing Address
3415 SALUKI WOODS RD BELLEVILLE, IL 62223
Mailing Phone
(618) 234-8246
Mailing Fax
(618) 234-8271
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2007
Last Update Date
11-05-2007
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License State
IL
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DEBORAH HAAKE

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(618) 234-8246

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C75993MEDICARE UPIN (02)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821287293
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28414814218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 4 + 8 + 1 + 4 + 2 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1821287293 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437148723 MARK A DEEMER ATH TR
Individual
Specialist/Technologist (Athletic Trainer)4550 MEMORIAL DR SUITE G-100
BELLEVILLE, IL 62226
(618) 236-2246
1194770933DR. DWIGHT WILLIAM O'DELL M.D.
Individual
Obstetrics & Gynecology (Gynecology)4550 MEMORIAL DR STE 200
BELLEVILLE, IL 62226
(618) 233-5998
1417060534 IFATH G BASHIRUDDIN M.D.
Individual
Internal Medicine (Nephrology)4550 MEMORIAL DR SUITE 360
BELLEVILLE, IL 62226
(618) 239-9500
1639271513DWIGHT O'DELL, M.D., LTD.
Organization
Obstetrics & Gynecology (Gynecology)4550 MEMORIAL DR SUITE 200
BELLEVILLE, IL 62226
(618) 233-5998
1275618480BELLEVILLE ORTHOPEDICS, P.C.
Organization
Specialist4550 MEMORIAL DR SUITE 460
BELLEVILLE, IL 62226
(618) 235-2900
1790818391 TIFFANY ELIZABETH CLIFTON OTR L
Individual
Occupational Therapist4550 MEMORIAL DR MEDICAL BUILDING #1 STE 470
BELLEVILLE, IL 62226
(618) 257-5249
1417280710 JANIS TAAKE RD, LD
Individual
Dietitian, Registered4550 MEMORIAL DR MEDICAL OFFICE BUILDING ONE SUITE 360
BELLEVILLE, IL 62226
(618) 239-9500
1619292950BELLEVILLE ORTHOPEDIC SURGEONS LTD
Organization
Specialist4550 MEMORIAL DR SUITE 460
BELLEVILLE, IL 62226
(618) 235-2900
1699061259OA ASSOCIATED LLC
Organization
Specialist/Technologist (Athletic Trainer)4550 MEMORIAL DR MOC-1, SUITE G-100
BELLEVILLE, IL 62226
(618) 236-2246
1235474057MEMORIAL MEDICAL GROUP, LLC
Organization
Internal Medicine4550 MEMORIAL DR STE. 340
BELLEVILLE, IL 62226
(618) 257-6302
1295049666MSA ALLIANCE, LLC
Organization
Urology4550 MEMORIAL DR STE 350
BELLEVILLE, IL 62226
(618) 239-9690
1528372992MSA ALLIANCE, LLC
Organization
Psychiatry & Neurology (Neurology)4550 MEMORIAL DR STE A-480
BELLEVILLE, IL 62226
(618) 222-1020
1689988057MSA ALLIANCE, LLC
Organization
Urology4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
(618) 277-3109
1699089060MSA ALLIANCE, LLC
Organization
Internal Medicine (Nephrology)4550 MEMORIAL DR STE 410
BELLEVILLE, IL 62226
(618) 234-8246
1821302118PC ASSOCIATES, LLC
Organization
Hospitalist4550 MEMORIAL DR SUITE 340
BELLEVILLE, IL 62226
(618) 257-6200
1386958668PC ASSOCIATES, LLC
Organization
Family Medicine4550 MEMORIAL DR STE 180
BELLEVILLE, IL 62226
(618) 235-8282
1376857656CA GROUP, LLC
Organization
Internal Medicine (Cardiovascular Disease)4550 MEMORIAL DR STE 310
BELLEVILLE, IL 62226
(618) 257-6112
1649584921CA GROUP LLC
Organization
Internal Medicine (Cardiovascular Disease)4550 MEMORIAL DR SUITE 320
BELLEVILLE, IL 62226
(618) 233-0833
1508026303DR. ERUM AHAD SHAIKH M.D.
Individual
Internal Medicine4550 MEMORIAL DR STE. 340
BELLEVILLE, IL 62226
(618) 257-6200
1629381256DR. PAYTON K. MCGOWEN M.D.
Individual
Hospitalist4550 MEMORIAL DR STE. 340
BELLEVILLE, IL 62226
(618) 257-6200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821287293, enumerated in the NPI registry as an "organization" on October 22, 2007

The provider is located at 4550 Memorial Dr Suite 410 Belleville, Il 62226 and the phone number is (618) 234-8246

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.