Organization Active NPI

Mdy Health S.C.

  • Internal Medicine Physician
  • North Aurora, IL
National Provider Identifier
1255738993
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MDY HEALTH S.C.
Practice address
161 S Lincolnway Ste 210
North Aurora, IL 60542-1660
Phone
(630) 599-7550
NPI assigned
Nov 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Syed F AliNPI 1225123615
Title
President
Phone
(630) 599-7550

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

161 S Lincolnway Ste 210
North Aurora, IL 60542-1660

Mailing address

PO Box 7198
Villa Park, IL 60181-7198
Phone (630) 599-7550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150316000760 IL Part B Supplier - Clinic/Group Practice 2163749979 Receives reassigned benefits from 1 practitioner
Practice locations: North Aurora, IL

National Provider Directory

National Provider Directory

Locations

161 S Lincolnway
Ste 210
North Aurora, IL 60542
Phone (630) 599-7550

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1255738993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7198",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601817198",
            "telephone_number": "630-599-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 S LINCOLNWAY STE 210",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421660",
            "telephone_number": "630-599-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDY HEALTH S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-599-7550"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.