Individual provider Active NPI

Ahmad Mohammad Ahmad, APN - CRNA

  • Certified Registered Nurse Anesthetist
  • Elmhurst, IL
National Provider Identifier
1144949678
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209030310 Issued in IL
Practice address
155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone
(331) 221-3521
Fax
(331) 221-3827
NPI assigned
Aug 26, 2022
Last updated
May 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209030310 IL Primary
Registered Nurse 163W00000X 041.461634 IL

Addresses

Primary practice location

155 E Brush Hill Rd
Elmhurst, IL 60126-5658

Mailing address

7010 W 115TH PL
Worth, IL 60482-2351
Phone (708) 890-2829

Other practice location 1

7010 W 115th Pl
Worth, IL 60482-2351
Phone (708) 890-2829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241018002697 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668904343 Reassigns benefits to 5 organizations
I20241107000393 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668904343 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians
Lakeshore Anesthesia PCGroup PAC ID 1951322353, 28 clinicians
Northstar Anesthesia of Indiana LLCGroup PAC ID 1153576905, 130 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 942-0551

24 Joliet St
Dyer, IN 46311-1705
Phone (219) 865-2141

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.461634ILMDRegistered Nurse
209030310ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Insight Chicago, Inc. CurrentSince Sep 7, 2025 Accepting new patients
Lakeshore Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Elite Anesthesia Providers, LTD Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2025 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Dec 28, 2025 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Insight Chicago, Inc. CurrentSince Sep 7, 2025 Accepting new patients
Premier Anesthesia of Illinois Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 7, 2025 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients

Locations

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

29373 Network Pl
Chicago, IL 60673

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

19110 Darvin Dr
Ste A
Mokena, IL 60448
Phone (708) 478-8889

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

12750 Saint Francis Dr
Crown Point, IN 46307
Phone (219) 738-2100

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

9200 Calumet Ave
Ste 200
Munster, IN 46321
Phone (219) 961-9621

Organizations & group practices 10

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

Hospital & facility affiliations 5

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1144949678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 W 115TH PL",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604822351",
            "telephone_number": "708-890-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E BRUSH HILL RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265658",
            "telephone_number": "331-221-3521",
            "fax_number": "331-221-3827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7010 W 115th Pl",
            "address_purpose": "LOCATION",
            "city": "Worth",
            "state": "IL",
            "postal_code": "604822351",
            "country_code": "US",
            "telephone_number": "708-890-2829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "AHMAD",
        "middle_name": "MOHAMMAD",
        "credential": "APN - CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209030310",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.461634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.