Individual provider Active NPI

Amina Baloch, APN

  • Primary Care Nurse Practitioner
  • Oakbrook Terrace, IL
National Provider Identifier
1336698901
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209014888 Issued in IL
Practice address
1S376 Summit Ave
Court C Unit 4B
Oakbrook Terrace, IL 60181-3985
Phone
(708) 945-4426
NPI assigned
Sep 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209014888 IL
Gerontology Nurse Practitioner 363LG0600X 209014888 IL
Primary Care Nurse Practitioner 363LP2300X 209014888 IL Primary

Addresses

Primary practice location

1S376 Summit Ave
Court C Unit 4B
Oakbrook Terrace, IL 60181-3985

Mailing address

1S376 Summit Ave
Court C Unit 4B
Oakbrook Terrace, IL 60181-3985
Phone (708) 945-4426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161102000072 IL Practitioner - Nurse Practitioner 2668750209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muhammad a Shahzad MD PCGroup PAC ID 2769579457, 4 clinicians

Practice addresses (Care Compare)

1 S376 Summit Ave
Suite 4B
Oakbrook Terrace, IL 60181-3966
Phone (331) 221-1957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209014888ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brieanna Nation-Howard, D.O. Palliative Care, P.C. CurrentSince Nov 1, 2024 Accepting new patients

Locations

1717 N Naper Blvd
Ste 301
Naperville, IL 60563
Phone (630) 634-7811

717 N Harwood St
Ste 550
Dallas, TX 75201
Phone (214) 628-9951

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1336698901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S376 SUMMIT AVE",
            "address_2": "COURT C UNIT 4B",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813985",
            "telephone_number": "708-945-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S376 SUMMIT AVE",
            "address_2": "COURT C UNIT 4B",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813985",
            "telephone_number": "708-945-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOCH",
        "first_name": "AMINA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209014888",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209014888",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209014888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.