Individual provider Active NPI

Omar Farooq Ahmed, DO

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1043896947
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036166490 Issued in IL
Practice address
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone
(773) 990-7921
NPI assigned
Mar 22, 2021
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036166490 IL Primary

Addresses

Primary practice location

7435 W Talcott Ave
Chicago, IL 60631-3707

Mailing address

7435 W Talcott Ave
Chicago, IL 60631-3707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230927001887 IL Practitioner - Emergency Medicine 8921452772 Reassigns benefits to 2 organizations
I20260211001967 KY Practitioner - Emergency Medicine 8921452772 Reassigns benefits to 2 organizations
I20260306002844 IN Practitioner - Emergency Medicine 8921452772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oldham County Emergency Physicians, LLCGroup PAC ID 3072094614, 37 clinicians
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1025 New Moody LN
La Grange, KY 40031-9154
Phone (502) 222-5388

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 747-4000

3516 E 10TH St
Jeffersonville, IN 47130-9315
Phone (812) 981-8970

7702 Bardstown Rd
Louisville, KY 40291-3207
Phone (502) 928-4700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036166490ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community First Healthcare of Illinois, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Oldham County Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 15, 2026 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Baptist Health Medical Group, Inc. Emergency Medicine CurrentSince Feb 27, 2026 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Community First Healthcare of Illinois, Inc. Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Presence Healthcare Services Current Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

62311 Collection Ctr Dr
Chicago, IL 60693

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

7702 Bardstown Rd
Louisville, KY 40291
Phone (502) 925-4100

Organizations & group practices 11

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 3

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1043896947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 W TALCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 W TALCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313707",
            "telephone_number": "773-990-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "OMAR",
        "middle_name": "FAROOQ",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036166490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.