Ifath G Bashiruddin (NPI# 1417060534, PAC ID# 5799872016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1417060534 |
| PAC ID by PECOS | 5799872016 |
| Professional Enrollment ID | I20071102000715 |
| Full Name | Ifath G Bashiruddin |
| Organization Legal Name | RASHID A DALAL MD PC |
| Address |
2130 Vadalabene Dr Maryville IL 62062-5632 |
| Phone Number | 6182880703 |
| Gender | F |
| Graduation Year | 1977 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2163459348 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140185 | MEMORIAL HOSPITAL |
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| 140145 | ST JOSEPHS HOSPITAL |
| 140137 | GREENVILLE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4550 Memorial Dr, Suite 360, Belleville, IL 62226-5369 | 6182399500 | RASHID A DALAL MD PC |
| 5105 W Main St, Belleville, IL 62226-4728 | 6182399500 | RASHID A DALAL MD PC |
| 129 N 8th St, E Saint Louis, IL 62201-2917 | 6182741900 | RASHID A DALAL MD PC |
| 129 N Eight St 3rd Fl, E Saint Louis, IL 62201-2917 | 6184827050 | RASHID A DALAL MD PC |
| 2130 Vadalabene Dr, Maryville, IL 62062-5632 | 6182880703 | RASHID A DALAL MD PC |
| 2061 Goose Lake Rd, Sauget, IL 62206-2822 | 6183327801 | RASHID A DALAL MD PC |
| 2071 Goose Lake Rd, Sauget, IL 62206-2822 | 6182399500 | RASHID A DALAL MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 14% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 13% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 2% |
| Organization Legal Name | RASHID A DALAL MD PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rashid A Dalal | Nephrology | Rashid A Dalal Md PC | 5105 W Main St, Belleville, IL 62226-4728 |
| Tammi L Jones | Nurse Practitioner | Rashid A Dalal Md PC | 4550 Memorial Dr, Suite 360, Belleville, IL 62226-5369 |
| Street Address |
2130 VADALABENE DR |
| City | MARYVILLE |
| State | IL |
| Zip | 62062-5632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shubhangi S Peche | Neurology | St Louis University | 2133 Vadabalene, Maryville, IL 62062 |
| James J Dalla Riva | Obstetrics/gynecology | James J Dalla Riva Md PC | 6812 State Rd 162, Suite 301, Maryville, IL 62062 |
| Bryson Thomas Whalen | Obstetrics/gynecology | James J Dalla Riva Md PC | 6812 State Rd 162, Suite 301, Maryville, IL 62062 |
| Thomas M Hulsen | Obstetrics/gynecology | James J Dalla Riva Md PC | 6812 State Rd 162, Suite 301, Maryville, IL 62062 |
| David W Kinscherff | Podiatry | Foot Health Center Inc P C | 122 E Zupan St, Maryville, IL 62062-2010 |
| Krystal Gilb | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Zachary Paul Luchtefeld | Family Medicine | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Amanda J Kilzer | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Robert T Farmer | Family Medicine | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Holly Harlow Shirley | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Find all physicians in zip 62062 | |||
| City | MARYVILLE |
| Zip Code | 62062 |
| Specialty | NEPHROLOGY |
| City + Specialty | MARYVILLE + NEPHROLOGY |
Please comment or provide details below to improve the information on Ifath G Bashiruddin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.