NPIMap

Individual provider Active NPI

Ehtesham J Ghani, MD

  • Internal Medicine Physician
  • Brookfield, IL
National Provider Identifier
1316988397
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036092503 Issued in IL
Practice address
9223 Ogden Avenue
Brookfield, IL 60513
Phone
(708) 485-4050
Fax
(708) 485-9216
NPI assigned
Jun 9, 2006
Last updated
Jul 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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 036092503 IL Primary

Addresses

Primary practice location

9223 Ogden Avenue
Brookfield, IL 60513

Mailing address

9223 Ogden Avenue
Brookfield, IL 60513
Phone (708) 485-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000808 IL Practitioner - Internal Medicine 4880650514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9223 Ogden Ave
Brookfield, IL 60513-1944
Phone (708) 485-4050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hinsdale Health and Nutrition Current Accepting new patients
Thinfast MD Rockford Past Accepting new patients
Thinfast MD LLC PastSince Jan 5, 2019 Accepting new patients
Thinfast MD Naperville Past Accepting new patients

Locations

120 E Ogden Ave
Ste 120
Hinsdale, IL 60521
Phone (630) 325-3472

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Orion Hospice and Palliative Care IncWillowbrook, IL, CCN 141717 Hospice Contracted Managing Employee Sep 27, 2022
Gemini Hospice LLCMorton Grove, IL, CCN 141735 Hospice Contracted Managing Employee Jan 2, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1316988397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9223 OGDEN AVENUE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "60513",
            "telephone_number": "708-485-4050",
            "fax_number": "708-485-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9223 OGDEN AVENUE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "60513",
            "telephone_number": "708-485-4050",
            "fax_number": "708-485-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANI",
        "first_name": "EHTESHAM",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036092503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, IL

Sources for this page

Verify at the official NPI Registry.