Active NPI
Nadeem Akhter, M.D.
- Internal Medicine Physician
- Northbrook, IL
National Provider Identifier
1235176074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036092369
- Practice address
- 3100 Dundee Rd Ste 506
Northbrook, IL 60062-2449 - Phone
- (847) 562-0840
- Fax
- (630) 718-0900
- NPI assigned
- Jun 1, 2006
- Last updated
- Dec 30, 2013
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036092369 | IL | Primary |
Addresses
Primary practice location
3100 Dundee Rd Ste 506
Northbrook, IL 60062-2449
Mailing address
3100 Dundee Rd
Suite 506
Northbrook, IL 60062-2402
Phone (847) 562-0840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092369 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036092369 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Medical Wellness Center , LLC | Internal Medicine | Current | Accepting new patients |
| Medici Healthcare Providers S.C | Internal Medicine | Past | Accepting new patients |
Locations
3100 Dundee Rd
Ste 506
Northbrook, IL 60062
Phone (847) 562-0840
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Northbrook, IL
- NPI 1396832895
-
- Internal Medicine Physician
- Northbrook, IL
- NPI 1972928679
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1336267467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388361600000",
"number": "1235176074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 DUNDEE RD",
"address_2": "SUITE 506",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622402",
"telephone_number": "847-562-0840",
"fax_number": "630-718-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 DUNDEE RD STE 506",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622449",
"telephone_number": "847-562-0840",
"fax_number": "630-718-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKHTER",
"first_name": "NADEEM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2013-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036092369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036092369",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.