Active NPI
Ahmad Nourallah, MD
- Surgery Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036-160922
- Practice address
- 1948 Three Farms Ave
Naperville, IL 60540-1105 - Phone
- (630) 355-5633
- Fax
- (630) 355-5215
- NPI assigned
- Nov 28, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036-160922 | IL | Primary |
Addresses
Primary practice location
1948 Three Farms Ave
Naperville, IL 60540-1105
Mailing address
1948 Three Farms Ave
Naperville, IL 60540-1105
Phone (630) 355-5633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 E County Line Rd
Sandwich, IL 60548-2178
Phone (815) 786-2722
1948 Three Farms Ave
Naperville, IL 60540-1105
Phone (630) 355-5668
24600 W 127TH St
Plainfield, IL 60585-9507
2650 Ridge Ave
Evanston, IL 60201-1700
76 W Countryside Pkwy
Yorkville, IL 60560-1967
Phone (630) 553-2722
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197
Hospital & facility affiliations
- Edward Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 20 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-160922 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575
120 Spalding Dr
Naperville, IL 60540
Phone (630) 527-5575
1948 Three Farms Ave
Naperville, IL 60540
Phone (630) 355-5633
120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730
24600 W 127th St
Ste B215
Plainfield, IL 60585
Phone (630) 355-5688
1 E County Line Rd
Sandwich, IL 60548
Phone (815) 786-2722
Interoperability endpoints
- anouraillah250783@direct.edward.org
Organizations & group practices 4
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.
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- NPI 1962452912
-
- Rheumatology Physician
- Naperville, IL
- NPI 1700255858
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1164965992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1948 THREE FARMS AVE",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605401105",
"telephone_number": "630-355-5633",
"fax_number": "630-355-5215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1948 THREE FARMS AVE",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605401105",
"telephone_number": "630-355-5633",
"fax_number": "630-355-5215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOURALLAH",
"first_name": "AHMAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-28",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036-160922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.