Ahmed Shafi P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036098168 Issued in IL

Legal business name

AHMED SHAFI P C

Practice address

9101 Devon Ridge Dr
Burr Ridge, IL 60527-8368

Phone

(630) 887-0641

Fax

(866) 261-3402

NPI assigned

Jul 3, 2008

Last updated

Jul 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed Shafi, MDNPI 1912997743

Title

Physician

Phone

(630) 887-0641

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Ahmed Shafi, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1912997743
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1043473747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 DEVON RIDGE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278368",
            "telephone_number": "630-887-0641",
            "fax_number": "866-261-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 DEVON RIDGE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278368",
            "telephone_number": "630-887-0641",
            "fax_number": "866-261-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED SHAFI P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-887-0641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036098168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912997743",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098168",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Pulmonary Group LLC
• Adventist Health Partners, Inc (Burr Ridge Family Medicine Physicians)
• Javier Antonio Aguilar Aragon, M.D.
• Karina Christine Aguilar
• Hanin R Ahmad, OD
• Mackenzi Akin, LSW
• Jafar M Al-Sadir, MD
• Joseph Alberth, PT, DPT
• G Caleb Alexander, MD
• Ghayda Ali

• Family Medicine Physician in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.