NPIMap

Organization Active NPI

Northwest Suburban Pain Associates LLC

  • Pain Medicine (Anesthesiology) Physician
  • Arlington Heights, IL
National Provider Identifier
1033313408
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
NORTHWEST SUBURBAN PAIN ASSOCIATES LLC
Practice address
880 W Central Rd
Suite 3600
Arlington Heights, IL 60005-2355
Phone
(847) 255-0900
NPI assigned
Jun 12, 2007
Last updated
Oct 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mohammad Ahsan, MDNPI 1508889023
Title
Partner
Phone
(847) 255-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

880 W Central Rd
Suite 3600
Arlington Heights, IL 60005-2355

Mailing address

5724 Reliable Parkway
Chicago, IL 60686-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071026000744 IL Part B Supplier - Clinic/Group Practice 3779670476 Receives reassigned benefits from 8 practitioners
Practice locations: Arlington Heights, IL; South Barrington, IL
O20130614000068 IL DME Supplier - Physician - Interventional Pain Management 3779670476 Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

1675 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 255-0900

880 W Central Rd
Ste 3600
Arlington Heights, IL 60005
Phone (847) 255-0900

5724 Reliable Pkwy
Chicago, IL 60686

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1033313408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD",
            "address_2": "SUITE 3600",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052355",
            "telephone_number": "847-255-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SUBURBAN PAIN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "AHSAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-255-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.