Sofia Ahmed, MD
Individual provider Active NPI Internal Medicine Physician · Maywood, IL
NPI 1013667922 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1013667922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 125.080128 (IL)
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-8757
- NPI assigned
- Mar 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
251 E Huron St
Chicago, IL 60611-2908
5777 Dept
Carol Stream, IL 60122-0021
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220617000755 | IL | Order and Referring Only - Internal Medicine |
2466831623 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.080128 | IL | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036173103 | IL | |
| Internal Medicine Physician | 207R00000X | 125.080128 | IL | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-5522
Other practice location 1
251 E Huron St Ste 16-738
Chicago, IL 60611-3055
Phone (312) 926-5924
Other providers in Maywood, IL
- Jovanni Donis Ahmad
- Yusuf Ahmad
- Zachery Ahmann
- Afser Ahmed
- Amena Ahmed
- Syed Mustafa Ahmed
- Yunus Shajee Ahmed
- Aliya Ahsan
- Dinkar Ahuja
- Angela Ai
All providers in Maywood, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.