Organization Active NPI

Advanced Medical Associates, SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1083721716
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADVANCED MEDICAL ASSOCIATES, SC
Practice address
5875 N Lincoln Ave Ste 105
Chicago, IL 60659-4672
Phone
(312) 446-8785
NPI assigned
Aug 25, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Prith M Goomar, MDNPI 1255347811
Title
Owner/Physician
Phone
(312) 446-8785

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary
Diagnostic Ultrasound Physician 2085U0001X IL

Addresses

Primary practice location

5875 N Lincoln Ave Ste 105
Chicago, IL 60659-4672

Mailing address

5875 N Lincoln Ave Ste 105
Chicago, IL 60659-4672
Phone (312) 446-8785

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070604000160 IL Part B Supplier - Clinic/Group Practice 7113025982 Receives reassigned benefits from 2 practitioners
Practice locations: Highland Park, IL; Chicago, IL

National Provider Directory

National Provider Directory

Locations

5875 N Lincoln Ave
Ste 105
Chicago, IL 60659
Phone (312) 446-8785

800 W 31st St
Chicago, IL 60608
Phone (312) 842-2447

4711 Golf Rd
Ste 806
Skokie, IL 60076

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1083721716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 N LINCOLN AVE STE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594672",
            "telephone_number": "312-446-8785",
            "fax_number": "773-890-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 N LINCOLN AVE STE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594672",
            "telephone_number": "312-446-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "GOOMAR",
        "authorized_official_first_name": "PRITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "312-446-8785",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.