Individual provider Active NPI

Sameera Syed, MD

  • Internal Medicine Physician
  • Addison, IL
National Provider Identifier
1073020962
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036156694 Issued in IL
Practice address
1339 W Lake St
Addison, IL 60101-1836
Phone
(847) 981-5767
NPI assigned
Jan 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036156694 IL Primary

Addresses

Primary practice location

1339 W Lake St
Addison, IL 60101-1836

Mailing address

1339 W Lake St
Addison, IL 60101-1836
Phone (847) 981-5767

Other names 1

  • Sameera Sayeed Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220630002753 IL Practitioner - Internal Medicine 6901239201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

1339 W Lake St
Addison, IL 60101-1836
Phone (847) 981-5767

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036156694ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bonaventure Medical Foundation, LLC CurrentSince Jul 5, 2022 Accepting new patients
Cary J Bortnick MD LTD Internal Medicine Past Accepting new patients

Locations

1339 W Lake St
Addison, IL 60101
Phone (630) 930-5600

303 E Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 980-8600

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

Interoperability endpoints

  • Direct secure messaging: ssyed279480@direct.englewoodhealth.org
  • Direct secure messaging: sameera.syed.1@380.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1073020962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011836",
            "telephone_number": "847-981-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011836",
            "telephone_number": "847-981-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "SAMEERA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036156694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMEERA",
            "last_name": "SAYEED",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.