Active NPI
Bashar Oustwani, M.D.
- Family Medicine Physician
- Arlington Heights, IL
National Provider Identifier
1144240672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Practice address
- 1430 N Arlington Heights Rd
Suite 205
Arlington Heights, IL 60004-4830 - Phone
- (847) 788-1400
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
1430 N Arlington Heights Rd
Suite 205
Arlington Heights, IL 60004-4830
Mailing address
1430 N Arlington Heights Rd
Suite 205
Arlington Heights, IL 60004-4830
Phone (847) 788-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01625873 | Other | IL | BLUE CROSS/BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036057257 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bashar Oustwani M.D.S.C. | Family Medicine | Past | Accepting new patients |
| Physician Services Corporation of Southern Illinois Inc. | Family Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Arlington Heights, IL
- NPI 1902826431
-
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144240672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 N ARLINGTON HEIGHTS RD",
"address_2": "SUITE 205",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600044830",
"telephone_number": "847-788-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 N ARLINGTON HEIGHTS RD",
"address_2": "SUITE 205",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600044830",
"telephone_number": "847-788-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUSTWANI",
"first_name": "BASHAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHEILD",
"identifier": "01625873",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.