Umair Ahmed
Individual provider Active NPI Hospitalist Physician · Michigan City, IN
NPI 1134579402 · NPPES record last updated Dec 28, 2022
Key facts
- NPI
- 1134579402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 01084103A (IN)
- Practice address
- 3500 Franciscan Way
Michigan City, IN 46360-0021 - Phone
- (219) 852-1524
- Fax
- (219) 933-2288
- NPI assigned
- Jun 17, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Home Physicians LLC
Ignite Hospitalists, LLC
24 On Physician Partners PC
Franciscan Physician Network
Practice addresses (Care Compare)
1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871
1325 N Highland Ave
Aurora, IL 60506-1449
Phone (630) 859-2222
1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 942-0551
3500 Franciscan Way
Michigan City, IN 46360-0021
Phone (219) 879-8511
601 Sheffield Ave
Dyer, IN 46311-1167
Phone (219) 322-2273
Hospital & facility affiliations
- Dunes Hospice LLC
- Franciscan Health Michigan City
- St Mary Medical Center Inc
- Presence Mercy Medical Center
- Saint Anthony
- Aperion Care Arbors Michigan City
- Beecher Manor NRSG & Rehab Ctr
- Crown Point Health Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IL, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Aperion Care Arbors Michigan City |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 1, 2012 Aug 1, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190730002099 | IL | Practitioner - Internal Medicine | 8820380918 | Reassigns benefits to 5 organizations |
| I20190813002335 | IL | Practitioner - Hospitalist | 8820380918 | Reassigns benefits to 3 organizations |
| I20200630001172 | IN | Practitioner - Hospitalist |
8820380918 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.069454 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Internal Medicine | Current |
Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| KND Development 59 LLC | Hospitalist | Current | Accepting new patients |
| Proctor Health Systems | Current |
Accepting new patients | |
| Franciscan Physician Network | Current |
Accepting new patients | |
| Methodist Medical Center of Illinois | Current |
Accepting new patients | |
| Community Home Physicians, LLC | Internal Medicine | Current |
Accepting new patients |
| KND Development 59, LLC | Hospitalist | Current |
Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Current |
Accepting new patients | |
| KND Development 59, LLC | Hospitalist | Current |
Accepting new patients |
| 24 On Physician Partners, PC | Hospitalist | Current |
Accepting new patients |
| Proctor Health Systems | Internal Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Current |
Accepting new patients | |
| Community First Healthcare of Illinois, Inc. | Internal Medicine | Current |
Accepting new patients |
| Pekin Prohealth Inc | Internal Medicine | Current |
Accepting new patients |
| The SNF Group, PLLC | Internal Medicine | Past | Accepting new patients |
Locations
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622
1S450 Summit Ave
Ste 270
Oakbrook Terrace, IL 60181
1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
221 NE Glen Oak Ave
Ste 514W
Peoria, IL 61636
Phone (309) 672-5733
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A1
Peoria, IL 61602
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
203 W Franciscan Dr
Crown Point, IN 46307
Phone (219) 661-5100
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- uahmed525878@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.069454 | IL | |
| Internal Medicine Physician | 207R00000X | 01084103A | IN | |
| Hospitalist Physician | 208M00000X | 01084103A | IN | Yes |
Addresses
Primary practice location
3500 Franciscan Way
Michigan City, IN 46360-0021
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2730
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300039834 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | uahmed525878@Direct.FranciscanAlliance.org | Direct |
Other providers in Michigan City, IN
- Jessica Aguilar
- Jennifer Marie Ahlenius
- Jamil Ahmed
- Rami Ahmed
- Sakif Ahmed
- Mutasem Al-Thweib
- Patrick David Albert
- Michelle Batacan Alexander
- Nicolette Sue Alexander
- Alick'S Home Medical Equipment, Inc
All providers in Michigan City, IN · Hospitalist Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.