Arif H Agha, MD
Individual provider Active NPI Urology Physician · Oak Brook, IL
NPI 1285711325 · NPPES record last updated Nov 27, 2019
Key facts
- NPI
- 1285711325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 036-097400 (IL)
- Practice address
- 600 Enterprise Dr Ste 218
Oak Brook, IL 60523-4200 - Phone
- (630) 990-4244
- Fax
- (630) 990-4245
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
600 Enterprise Dr
Suite 218
Oak Brook, IL 60523-4200
Phone (630) 990-4244
Hospital & facility affiliations
- Morris Hospital & Healthcare Centers
- Advocate Good Samaritan Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040910000123 | IL | Practitioner - Urology | 7012983141 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-097400 | IL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Brook Urology LTD | Urology | Current |
Accepting new patients |
| Vasectomy Reversal Center of Chicago S C | Urology | Past | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1802 N Division St
Ste 505
Morris, IL 60450
Phone (815) 941-1522
2425 W 22nd St
Ste 201
Oak Brook, IL 60523
Phone (630) 990-2440
2425 W 22nd St
Ste 216
Oak Brook, IL 60523
Phone (630) 990-4244
600 Enterprise Dr
Ste 218
Oak Brook, IL 60523
Phone (630) 620-0320
Interoperability endpoints
- aagha251988@direct.myadvocateaurora.org
- info@the-urologist.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 036-097400 | IL | Yes |
Addresses
Primary practice location
600 Enterprise Dr Ste 218
Oak Brook, IL 60523-4200
Mailing address
600 Enterprise Dr Ste 218
Oak Brook, IL 60523-4200
Phone (630) 990-4244
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036097400 | Other | IL | LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Info@the-urologist.com | Direct |
Other providers in Oak Brook, IL
- Advocate Health and Hospitals Corporation
- Affinity Health Corp.
- Asma Afridi
- Vedavathi Agadi
- Ghanshyam Agarwal
- Fariha Agha
- Christina Ahme
- Ahmed Hussain LTD
- Syed Mohiuddin Ahmed
- Syed Akbar
All providers in Oak Brook, IL · Urology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.