OrganizationActive
Ifath G. Bashiruddin M.d.s.c.
NPI 1821287293 · Specialist · Belleville, IL
Ifath G. Bashiruddin M.d.s.c. is a Specialist organization in Belleville, IL (NPI 1821287293).
Provider details
- NPI number
- 1821287293
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Deborah Haake, Business Manager(618) 234-8246
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4550 Memorial Dr
Suite 410
Belleville, IL 62226-5359
Phone: (618) 234-8246
Fax: (618) 234-8271
Street-level locationGet directions
Mailing address
3415 Saluki Woods Rd
Belleville, IL 62223-7017
Registry dates
- Enumerated
- 2007-10-22
- Last updated
- 2007-11-05
Frequently asked questions
- What is Ifath G. Bashiruddin M.d.s.c.'s NPI number?
- Ifath G. Bashiruddin M.d.s.c.'s National Provider Identifier (NPI) is 1821287293, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ifath G. Bashiruddin M.d.s.c.?
- Ifath G. Bashiruddin M.d.s.c. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Ifath G. Bashiruddin M.d.s.c. located?
- Ifath G. Bashiruddin M.d.s.c.'s practice location on file with NPPES is 4550 Memorial Dr, Belleville, IL 62226-5359.
- What is Ifath G. Bashiruddin M.d.s.c.'s phone number?
- The practice phone number listed in the NPPES registry for Ifath G. Bashiruddin M.d.s.c. is (618) 234-8246.
- Who is the authorized official for Ifath G. Bashiruddin M.d.s.c.?
- The authorized official listed on Ifath G. Bashiruddin M.d.s.c.'s NPPES record is Deborah Haake, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ifath G. Bashiruddin M.d.s.c.'s NPI active?
- Yes — Ifath G. Bashiruddin M.d.s.c.'s NPI (1821287293) is active in the NPPES registry as of the last update on 2007-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.