Ismael Medical Association

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036117423 Issued in IL

Legal business name

ISMAEL MEDICAL ASSOCIATION

Practice address

1049 E Wilson St Ste 170
Batavia, IL 60510-2478

Phone

(224) 703-9277

Fax

(888) 851-9193

NPI assigned

Feb 5, 2009

Last updated

Sep 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Manzoor A Qazi, M.DNPI 1770789596

Title

Owner

Phone

(224) 703-9277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Manzoor Ahmad Qazi, MD

  • Internal Medicine Physician
  • Elgin, IL
  • NPI 1770789596
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1326287962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 E WILSON ST STE 170",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102478",
            "telephone_number": "224-703-9277",
            "fax_number": "888-851-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 E WILSON ST STE 170",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102478",
            "telephone_number": "224-703-9277",
            "fax_number": "888-851-9193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Big Timber Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601247835",
            "country_code": "US",
            "telephone_number": "847-628-4751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISMAEL MEDICAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "MANZOOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-703-9277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036117423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Batavia, IL
• Providers in Batavia, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.