Organization Active NPI

Cardio Medical Center SC

  • Cardiovascular Disease Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1184655276
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1L00336477611 Issued in IL
Legal business name
CARDIO MEDICAL CENTER SC
Practice address
1 South 085 Summit Avenue
Oak Brook Terrace, IL 60181
Phone
(630) 629-9700
Fax
(630) 629-1888
NPI assigned
Jul 6, 2006
Last updated
Jul 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Dr. Riaz A Akhtar, MD FACCNPI 1407877160
Title
Owner MD
Phone
(630) 629-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 036047761 IL
Internal Medicine Physician 207R00000X 1L00336477611 IL
Cardiovascular Disease Physician 207RC0000X 1L00336477611 IL Primary

Addresses

Primary practice location

1 South 085 Summit Avenue
Oak Brook Terrace, IL 60181

Mailing address

1 South 085 Summit Avenue
Oak Brook Terrace, IL 60181
Phone (630) 629-9700

Other identifiers 4

IdentifierTypeStateIssuer
060016608OtherILRAILROAD
2215715OtherILBC
036047761MedicaidIL
000900130OtherILBC

Other names 1

  • Riaz A Akhtar Other name

National Provider Directory

National Provider Directory

Locations

4651 W 79th St
Ste 2
Chicago, IL 60652
Phone (630) 629-6700

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1184655276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTH 085 SUMMIT AVENUE",
            "city": "OAK BROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-629-9700",
            "fax_number": "630-629-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTH 085 SUMMIT AVENUE",
            "city": "OAK BROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-629-9700",
            "fax_number": "630-629-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "AKHTAR",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "630-629-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "036047761",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "1L00336477611",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "1L00336477611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "060016608",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "2215715",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047761",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "000900130",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riaz A Akhtar",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.