Organization Active NPI

Ahmad Bastani MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1316908965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AHMAD BASTANI MD
Practice address
6033 N Sheridan Rd
Suite S-8
Chicago, IL 60660
Phone
(773) 506-9600
Fax
(773) 506-9655
NPI assigned
Mar 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ahmad Bastani, MDNPI 1972564524
Title
MD
Phone
(773) 506-9600

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
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

6033 N Sheridan Rd
Suite S-8
Chicago, IL 60660

Mailing address

6033 N Sheridan Rd
Suite S-8
Chicago, IL 60660
Phone (773) 506-9600

Other identifiers 2

IdentifierTypeStateIssuer
1606175OtherILBCBS
4476749OtherILAETNA

National Provider Directory

National Provider Directory

Locations

6033 N Sheridan Rd
Ste S8
Chicago, IL 60660
Phone (773) 506-9600

Practitioners & affiliated clinicians

Practitioners 1

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": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316908965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 N SHERIDAN RD",
            "address_2": "SUITE S-8",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60660",
            "telephone_number": "773-506-9600",
            "fax_number": "773-506-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 N SHERIDAN RD",
            "address_2": "SUITE S-8",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60660",
            "telephone_number": "773-506-9600",
            "fax_number": "773-506-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD BASTANI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASTANI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "773-506-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1606175",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4476749",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.