Ehtesham J Ghani, MD
Individual provider Active NPI Internal Medicine Physician · Brookfield, IL
NPI 1316988397 · NPPES record last updated Jul 14, 2010
Key facts
- NPI
- 1316988397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036092503 (IL)
- Practice address
- 9223 Ogden Avenue
Brookfield, IL 60513 - Phone
- (708) 485-4050
- Fax
- (708) 485-9216
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- 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
- Uchicago Medicine Adventhealth Home Care
- Gemini Hospice, LLC
- Uchicago Medicine Adventhealth la Grange
- Uchicago Medicine Adventhealth Hinsdale
- Uchicago Medicine Adventhealth Bolingbrook
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
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
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Orion Hospice and Palliative Care Inc |
Hospice | Contracted Managing Employee | Sep 27, 2022 |
| Gemini Hospice LLC |
Hospice | Contracted Managing Employee | Jan 2, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041208000808 | IL | Practitioner - Internal Medicine | 4880650514 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036092503 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hinsdale Health and Nutrition | Current | Accepting new patients | |
| Thinfast MD Naperville | Past | Accepting new patients | |
| Thinfast MD LLC | Past |
Accepting new patients | |
| Thinfast MD Rockford | Past | Accepting new patients |
Locations
120 E Ogden Ave
Ste 120
Hinsdale, IL 60521
Phone (630) 325-0400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036092503 | IL | Yes |
Addresses
Primary practice location
9223 Ogden Avenue
Brookfield, IL 60513
Mailing address
9223 Ogden Avenue
Brookfield, IL 60513
Phone (708) 485-4050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092503 | Medicaid | IL | |
| 01623766 | Other | BLUE CROSS BLUE SHIELD |
Other providers in Brookfield, IL
- Christopher Forte
- Laura Foster
- Michael Fressola
- Gerald P Gardner
- Cristina Garza
- Mary Elizabeth Gill
- Loretta May Gorecki
- Svetlana Grocic
- Catherine Scarlett Guerrero
- April Halfpenny
All providers in Brookfield, IL · Internal Medicine 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 Jul 14, 2010. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.