Individual provider Active NPI

Mahvish Hamid, MD

  • Family Medicine Physician
  • West Reading, PA
National Provider Identifier
1215348545
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-144239 Issued in IL
Practice address
6TH Avenue & Spruce Street
West Reading, PA 19611
Phone
(484) 628-8855
Fax
(484) 628-8390
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT206485 PA
Family Medicine Physician 207Q00000X 036-144239 IL Primary

Addresses

Primary practice location

6TH Avenue & Spruce Street
West Reading, PA 19611

Mailing address

1860 Paysphere Cir Ste 140
Chicago, IL 60674-3335
Phone (630) 469-2000

Other practice location 1

640 S Washington St Ste 350
Naperville, IL 60540-6785
Phone (630) 717-2646

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171017000001 IL Practitioner - Family Practice 7214229020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

640 S Washington
Suite 268
Naperville, IL 60540-6694
Phone (630) 961-2710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-144239ILMDFamily Medicine Physician
MT206485PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Oct 21, 2019 Accepting new patients
Edward Health Ventures CurrentSince Oct 9, 2017 Accepting new patients
Edward Health Ventures CurrentSince Oct 9, 2017 Accepting new patients
Dupage Medical Group LTD CurrentSince Oct 21, 2019 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1860 Paysphere Cir
Ste 140
Chicago, IL 60674

640 S Washington St
Ste 268
Naperville, IL 60540
Phone (630) 961-2710

640 S Washington St
Ste 350
Naperville, IL 60540
Phone (630) 596-0060

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

Interoperability endpoints

  • Direct secure messaging: mhamid200046@dulyhealthandcare.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1215348545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR STE 140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606743335",
            "telephone_number": "630-469-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6TH AVENUE & SPRUCE STREET",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "19611",
            "telephone_number": "484-628-8855",
            "fax_number": "484-628-8390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 S Washington St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605406785",
            "country_code": "US",
            "telephone_number": "630-717-2646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMID",
        "first_name": "MAHVISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT206485",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-144239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

Verify at the official NPI Registry.