Oak Brook Urology LTD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036-097400 Issued in IL

Legal business name

OAK BROOK UROLOGY LTD

Practice address

600 Enterprise Dr Ste 218
Oak Brook, IL 60523-4200

Phone

(630) 990-4244

Fax

(630) 990-4245

NPI assigned

Nov 29, 2007

Last updated

Nov 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arif H Agha, MDNPI 1285711325

Title

President

Phone

(630) 990-4244

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Morris Urology Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Arif H Agha, MD

  • Urology Physician
  • Oak Brook, IL
  • NPI 1285711325
  Medicare reassignment NPD Authorized official
• Fariha Agha, M.D.

  • Family Medicine Physician
  • Oak Brook, IL
  • NPI 1235217381
  NPD

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1114109204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ENTERPRISE DR STE 218",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234200",
            "telephone_number": "630-990-4244",
            "fax_number": "630-990-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ENTERPRISE DR STE 218",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234200",
            "telephone_number": "630-990-4244",
            "fax_number": "630-990-4245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Wabash Ave Ste 1210",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606023092",
            "country_code": "US",
            "telephone_number": "630-990-4244",
            "fax_number": "630-990-4245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 E US Route 6 Ste A",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604509043",
            "country_code": "US",
            "telephone_number": "630-990-4244",
            "fax_number": "630-990-4245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OAK BROOK UROLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "ARIF",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-990-4244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-097400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN MORRIS",
            "identifier": "209701",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL3043",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morris Urology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Oak Brook Home Health LLC
• Oak Brook Medical Associates, S.C.
• Oak Brook Medical Group LTD
• Oak Brook MSK LTD
• Oak Brook Surgical Centre Inc.
• Oak Brook X-Ray and Imaging, Inc.
• Oak Lawn Pediatrics LTD.
• Oakbrook Endodontic Associates, LTD.
• Oakbrook Healthcare Group, Inc
• Oakbrook Optical LLC

• Urology Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.