Individual provider Active NPI

Nadeem Akhter, M.D.

  • Internal Medicine Physician
  • Northbrook, IL
National Provider Identifier
1235176074
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036092369 Issued in IL
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036092369MedicaidIL

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

LicenseStateTypeSpecialty
036092369ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.