NPIMap

Individual provider Active NPI

Syed M Ahmed, M.D.

  • Cardiovascular Disease Physician
  • Morris, IL
National Provider Identifier
1053393439
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34178 Issued in IA
Practice address
151 W High St
Lower Level
Morris, IL 60450-1407
Phone
(815) 705-1000
Fax
(815) 705-2709
NPI assigned
Nov 18, 2005
Last updated
May 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 34178 IA Primary

Addresses

Primary practice location

151 W High St
Lower Level
Morris, IL 60450-1407

Mailing address

201 S Wabena Ave
Suite 2B
Minooka, IL 60447-8715
Phone (815) 941-9124

Other identifiers 2

IdentifierTypeStateIssuer
036133146MedicaidIL
0241182MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131009000407 IL Practitioner - Cardiovascular Disease (Cardiology) 5890831960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

1703 Polaris Cir
Suite 1
Ottawa, IL 61350-1772
Phone (815) 705-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34178IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince Aug 19, 2013 Accepting new patients
Morris Hospital CurrentSince Aug 19, 2013 Accepting new patients
Morris Hospital Current Accepting new patients
Iowa Heart Center PC Cardiovascular Disease Past Accepting new patients
Catholic Health Initiatives-Iowa Corp Cardiovascular Disease Past Accepting new patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients

Locations

389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

1345 Edwards St
Ste 2
Morris, IL 60450
Phone (815) 705-1000

150 W High St
Morris, IL 60450
Phone (815) 942-2129

151 W High St
Lowr
Morris, IL 60450
Phone (815) 705-1000

725 School St
Ste A
Morris, IL 60450

1300 Starfire Dr
Ottawa, IL 61350
Phone (815) 324-9700

1703 Polaris Cir
Ste 1
Ottawa, IL 61350
Phone (815) 705-1000

Interoperability endpoints

  • Direct secure messaging: syed.ahmed@direct-address.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 7

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1053393439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S WABENA AVE",
            "address_2": "SUITE 2B",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604478715",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W HIGH ST",
            "address_2": "LOWER LEVEL",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501407",
            "telephone_number": "815-705-1000",
            "fax_number": "815-705-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SYED",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "34178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036133146",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0241182",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.