Organization Active NPI

Mdoc PC

  • Internal Medicine Physician
  • Barrington, IL
National Provider Identifier
1043613581
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MDOC PC
Practice address
1250 S Grove Ave
Suite 200
Barrington, IL 60010-5091
Phone
(847) 381-5171
Fax
(847) 382-1787
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Ahtesham HyderNPI 1740207505
Title
Owner
Phone
(847) 381-5171

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1250 S Grove Ave
Suite 200
Barrington, IL 60010-5091

Mailing address

1250 S Grove Ave
Suite 200
Barrington, IL 60010-5091
Phone (847) 381-5171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141119001089 IL Part B Supplier - Clinic/Group Practice 9436371879 Receives reassigned benefits from 2 practitioners
Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

100 W Higgins Rd
Unit 90
South Barrington, IL 60010
Phone (815) 914-1414

100 W Higgins Rd
Unit M90
South Barrington, IL 60010
Phone (815) 914-1414

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1043613581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S GROVE AVE",
            "address_2": "SUITE 200",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105091",
            "telephone_number": "847-381-5171",
            "fax_number": "847-382-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S GROVE AVE",
            "address_2": "SUITE 200",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105091",
            "telephone_number": "847-381-5171",
            "fax_number": "847-382-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "HYDER",
        "authorized_official_first_name": "AHTESHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-381-5171"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.