NPIMap

Individual provider Active NPI

Akhtar Parvaiz, MD

  • Interventional Cardiology Physician
  • Chicago, IL
National Provider Identifier
1043313000
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036087645 Issued in IL
Practice address
2315 E 93Rd St
Suite 237
Chicago, IL 60617-3936
Phone
(773) 734-9200
Fax
(773) 734-9201
NPI assigned
Sep 6, 2006
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 01048363A IN
Interventional Cardiology Physician 207RI0011X 036087645 IL Primary

Addresses

Primary practice location

2315 E 93Rd St
Suite 237
Chicago, IL 60617-3936

Mailing address

106 Kraml Dr
Burr Ridge, IL 60527-0302
Phone (630) 546-1706

Other identifiers 2

IdentifierTypeStateIssuer
200393630MedicaidIN
036087645MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040327000315 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0648162206 Reassigns benefits to 1 organization
I20040624001618 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0648162206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2315 E 93Rd St
Suite 237
Chicago, IL 60617-3919
Phone (718) 514-6646

5500 Hohman Ave
Suite 2C
Hammond, IN 46320-1942
Phone (219) 933-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036081645ILMDAnesthesiology Physician
036087645ILMDInterventional Cardiology Physician
01048363AINMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Park Hospital Foundation Current Accepting new patients
Heart-Lung Health Centers Past Accepting new patients
Family Heath Care Center of Highland, P.C. Past Accepting new patients
Cardio-Pulmonary Associates, P.C. Past Accepting new patients

Locations

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

7531 S Stony Island Ave
Ste 16
Chicago, IL 60649

Interoperability endpoints

  • Direct secure messaging: akhtarparvaiz@jph.medalliesdirect.net
  • Direct secure messaging: aparvaiz64156@direct.franciscanalliance.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1043313000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 KRAML DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270302",
            "telephone_number": "630-546-1706",
            "fax_number": "630-887-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST",
            "address_2": "SUITE 237",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173936",
            "telephone_number": "773-734-9200",
            "fax_number": "773-734-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARVAIZ",
        "first_name": "AKHTAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01048363A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036087645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200393630",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087645",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.