Individual provider Active NPI

Mashaal F Ikram, M.D.

  • Cardiovascular Disease Physician
  • Evanston, IL
National Provider Identifier
1215499777
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
125.074233 Issued in IL
Practice address
2650 Ridge Ave -Evanston Hospital
Suite 1304
Evanston, IL 60201
Phone
(847) 570-2000
Fax
(847) 570-5240
NPI assigned
Apr 3, 2019
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A200284 CA
Cardiovascular Disease Physician 207RC0000X 125.074233 IL Primary

Addresses

Primary practice location

2650 Ridge Ave -Evanston Hospital
Suite 1304
Evanston, IL 60201

Mailing address

2650 Ridge Ave
Suite 1304
Evanston, IL 60201
Phone (847) 570-1485

Other practice location 1

980 Fulton Ave
Sacramento, CA 95825-4558
Phone (916) 248-8747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250507001271 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3779004791 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Centers of AmericaGroup PAC ID 5991175481, 16 clinicians
Ampla HealthGroup PAC ID 5092619270, 105 clinicians

Practice addresses (Care Compare)

1233 Plumas St
Yuba City, CA 95991-3410
Phone (530) 715-2900

1350 E Main St
Grass Valley, CA 95945-5208
Phone (530) 477-8545

355 Samuel Dr
Yuba City, CA 95991-6324
Phone (530) 674-9200

680 Cohasset Rd
Chico, CA 95926-2213
Phone (530) 342-4395

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A200284CAMDCardiovascular Disease Physician
125.074233ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Centers of America Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
Chapa-de Indian Health Program, Inc. CurrentSince Jul 15, 2025 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Elica Health Centers CurrentSince Aug 28, 2025 Accepting new patients
Elica Health Centers Current Accepting new patients
Elica Health Centers CurrentSince Aug 28, 2025 Accepting new patients
Ampla Health CurrentSince Sep 1, 2025 Accepting new patients
Ampla Health CurrentSince Sep 1, 2025 Accepting new patients
Ampla Health Current Accepting new patients
Heart and Vascular Centers of America, Inc. Cardiovascular Disease Past Accepting new patients

Locations

11670 Atwood Rd
Auburn, CA 95603
Phone (530) 887-2800

765 Medical Center Ct
Ste 211
Chula Vista, CA 91911
Phone (619) 216-3113

1350 E Main St
Grass Valley, CA 95945
Phone (530) 477-8545

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

1750 Wright St
Ste 1
Sacramento, CA 95825

1860 Howe Ave
Ste 440
Sacramento, CA 95825

980 Fulton Ave
Sacramento, CA 95825
Phone (530) 715-2900

8787 Complex Dr
Ste 210
San Diego, CA 92123

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

1233 Plumas St
Yuba City, CA 95991
Phone (530) 715-2900

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHIAD
  • Direct secure messaging: mashaal.ikram@ampla.eclinicaldirectplus.com
  • Direct secure messaging: mikram130614@direct.luhs.org

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 2

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1215499777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "address_2": "SUITE 1304",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-570-1485",
            "fax_number": "847-733-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE -EVANSTON HOSPITAL",
            "address_2": "SUITE 1304",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-570-2000",
            "fax_number": "847-570-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958254558",
            "country_code": "US",
            "telephone_number": "916-248-8747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKRAM",
        "first_name": "MASHAAL",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A200284",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "125.074233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.