Individual provider Active NPI

Amara Bukhari, D.C.

  • Chiropractor
  • Crest Hill, IL
National Provider Identifier
1033773080
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013425 Issued in IL
Practice address
16119 Weber Rd
Crest Hill, IL 60403-8742
Phone
(815) 556-8093
NPI assigned
Apr 25, 2019
Last updated
Sep 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013425 IL Primary

Addresses

Primary practice location

16119 Weber Rd
Crest Hill, IL 60403-8742

Mailing address

16119 Weber Rd
Crest Hill, IL 60403-8742
Phone (815) 556-8093

Other practice location 1

1400 Wantagh Ave
Wantagh, NY 11793-2257
Phone (518) 809-7610

Other practice location 2

440 W Boughton Rd Ste 102
Bolingbrook, IL 60440
Phone (630) 759-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911003410 IL Practitioner - Chiropractic 1052640331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16119 Weber Rd
Crest Hill, IL 60403-8742
Phone (815) 556-8093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013425ILMDChiropractor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1033773080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16119 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604038742",
            "telephone_number": "815-556-8093",
            "fax_number": "815-267-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16119 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604038742",
            "telephone_number": "815-556-8093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Wantagh Ave",
            "address_purpose": "LOCATION",
            "city": "Wantagh",
            "state": "NY",
            "postal_code": "117932257",
            "country_code": "US",
            "telephone_number": "518-809-7610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 W Boughton Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "60440",
            "country_code": "US",
            "telephone_number": "630-759-8989",
            "fax_number": "630-759-8973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUKHARI",
        "first_name": "AMARA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2020-09-05",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.