Individual provider Active NPI

Danesh A Alam, MD

  • Psychiatry Physician
  • Winfield, IL
National Provider Identifier
1043227200
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME97712 Issued in FL
Practice address
27W350 High Lake Rd Ste 208
Winfield, IL 60190-1262
Phone
(630) 933-6767
Fax
(708) 686-0010
NPI assigned
Aug 1, 2006
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036-101113 IL
Psychiatry Physician 2084P0800X ME97712 FL Primary

Addresses

Primary practice location

27W350 High Lake Rd Ste 208
Winfield, IL 60190-1262

Mailing address

109 Symonds Dr Unit 297
Hinsdale, IL 60522-7325
Phone (630) 321-1115

Other names 1

  • Dr. Danesh Alam Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME97712FLMDPsychiatry Physician
036-101113ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Academy at Ambrosia LLC Current Accepting new patients
Midwest Detox at Ambrosia LLC Midwest Detox Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Psychelp Counseling & Psychiatry Past Accepting new patients
RMP Enterprises, LLC Past Accepting new patients
Alexian Brothers Behavioral Health Hospital Psychiatry Past Accepting new patients

Locations

1091 SW Bayshore Blvd
Port St Lucie, FL 34983
Phone (772) 323-2099

1091 SW Bayshore Blvd
Ste 103
Port St Lucie, FL 34983

222 Picadilly St
West Palm Beach, FL 33407
Phone (561) 578-8585

222 Picadilly St
Ste D
West Palm Beach, FL 33407
Phone (561) 545-1095

Organizations & group practices 6

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1043227200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SYMONDS DR UNIT 297",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605227325",
            "telephone_number": "630-321-1115",
            "fax_number": "630-321-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W350 HIGH LAKE RD STE 208",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901262",
            "telephone_number": "630-933-6767",
            "fax_number": "708-686-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "DANESH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-101113",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME97712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANESH",
            "last_name": "ALAM",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.