Organization Active NPI

Primary Care Services

  • Internal Medicine Physician
  • Lombard, IL
National Provider Identifier
1235461765
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036117593 Issued in IL
Legal business name
PRIMARY CARE SERVICES
Practice address
2500 S Highland Ave
Suite 230
Lombard, IL 60148-5363
Phone
(630) 429-9000
Fax
(630) 429-9060
NPI assigned
Feb 9, 2010
Last updated
Mar 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Dr. Iram Aleem Ahmed, MDNPI 1639383631
Title
Physician
Phone
(630) 429-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036117593 IL Primary

Addresses

Primary practice location

2500 S Highland Ave
Suite 230
Lombard, IL 60148-5363

Mailing address

2500 S Highland Ave
Suite #: 230
Lombard, IL 60148-5363
Phone (630) 429-9000

Other identifiers 1

IdentifierTypeStateIssuer
036117593MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100614000473 IL Part B Supplier - Clinic/Group Practice 3870623101 Receives reassigned benefits from 9 practitioners
Practice locations: Hoffman Estates, IL; Bloomingdale, IL; La Grange, IL; Lombard, IL; Oak Brook, IL; Roselle, IL; Schaumburg, IL; Streamwood, IL…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2044079Primary Care Services S C2500 S Highland Ave, Ste 230, Lombard, IL 60148Certificate of waiverJul 16, 2028

National Provider Directory

National Provider Directory

Locations

275 E Army Trail Rd
Bloomingdale, IL 60108
Phone (630) 893-9616

2500 S Highland Ave
Ste 230
Lombard, IL 60148
Phone (630) 429-9000

2013 Midwest Rd
Oak Brook, IL 60523
Phone (630) 495-0220

Practitioners & affiliated clinicians

Practitioners 9

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": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1235461765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S HIGHLAND AVE",
            "address_2": "SUITE #: 230",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485363",
            "telephone_number": "630-429-9000",
            "fax_number": "630-429-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S HIGHLAND AVE",
            "address_2": "SUITE 230",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485363",
            "telephone_number": "630-429-9000",
            "fax_number": "630-429-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "IRAM",
        "authorized_official_middle_name": "ALEEM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-429-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036117593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036117593",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.