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SSD MEDICAL GROUP INC
NPI 1932635083
Internal Medicine in Huntley, IL

Active since May 11, 2017CLIA 14D2136922 · Waiver
12151 REGENCY PKWY STE 12165, HUNTLEY, IL 60142(847) 230-9808(847) 984-1915 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2022, Dec 14, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Ssd Medical Group Inc NPPES

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

SSD MEDICAL GROUP INC (NPI 1932635083) is a healthcare organization registered as an internal medicine in Huntley, Illinois and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Shazia Daudi, President, as its authorized official.

NPPES Registry Identity

NPI1932635083
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSSD MEDICAL GROUP INC
Location Address12151 REGENCY PKWY STE 12165Huntley, IL 60142-7644
Mailing Address12151 Regency Pkwy Ste 12165Huntley, IL 60142-7644 · (847) 230-9808 · Fax (847) 984-1915
Phone(847) 230-9808
Fax(847) 984-1915
Organization SubpartNo
Authorized OfficialShazia DaudiPresident · (847) 230-9808
Enumeration DateMay 11, 2017
Last NPPES UpdateFebruary 17, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1932635083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedExclusive Provider OrganizationTaxonomy 302F00000X · License 336072732 (IL)
12151 REGENCY PKWY STE 12165, Huntley, IL 60142
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Other Identifiers 1

Medicaid036111912IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Ssd Medical Group Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Sandra Schroder
Nurse Practitioner
NPI 1225906662
12151 REGENCY PKWY STE 12165
Huntley, IL 60142
(847) 230-9808
✔ PECOS✔ Accepts MedicareSame address
Shazia Daudi, MD
Internal Medicine
NPI 1235137928
12151 REGENCY PKWY STE 12165
Huntley, IL 60142
(847) 230-9808
✔ PECOS✔ Accepts MedicareSame address
Adeola Oladipo, APRN, FNP-BC
Nurse Practitioner
NPI 1942698980
50 N JANE DR
Elgin, IL 60123
(847) 235-6130
✔ PECOS9.8 mi
Sangita Patel, APRN
Nurse Practitioner
NPI 1043810211
3775 N MULFORD RD
Rockford, IL 61114
(779) 696-9202
✔ PECOS✔ Accepts Medicare31 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2136922

Ssd Medical Group Inc · Huntley, IL
Active · expires Sep 17, 2027
CLIA Number14D2136922
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorShazia S. Daudi MD
Laboratory Phone(847) 628-4751
Laboratory LocationSsd Medical Group Inc12151 Regency Parkway, Suite 12165, Huntley, IL 60142
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Ssd Medical Group Inc's NPI number?

The NPI number for Ssd Medical Group Inc is 1932635083. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is Ssd Medical Group Inc located?

Ssd Medical Group Inc is located at 12151 Regency Pkwy Ste 12165, Huntley, IL 60142. The listed phone number is (847) 230-9808.

What is Ssd Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ssd Medical Group Inc enrolled in Medicare?

Yes. Ssd Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ssd Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Ssd Medical Group Inc. 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. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ssd Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2136922) is associated with this NPI, valid through September 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ssd Medical Group Inc was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.