Individual provider Active NPI

Mohammad Amin Zaman, MD

  • Internal Medicine Physician
  • Burr Ridge, IL
National Provider Identifier
1346350196
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.114379 Issued in IL
Practice address
1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864
Phone
(312) 818-4650
Fax
(855) 618-2629
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2009024755 MO
Internal Medicine Physician 207R00000X 036.114379 IL Primary

Addresses

Primary practice location

1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864

Mailing address

1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864
Phone (312) 818-4650

Other identifiers 2

IdentifierTypeStateIssuer
036114379MedicaidIL
6032157OtherILBLUECROSS/BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051108000936 IL Practitioner - Internal Medicine 6002701471 Reassigns benefits to 1 organization
I20120120000457 MO Practitioner - Internal Medicine 6002701471 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

936 Charbonier Rd
Florissant, MO 63031-5220
Phone (636) 751-0362

Hospital & facility affiliations

  • St Sophia Health & Rehabilitation Center Nursing home, Florissant, MO, CCN 265120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.114379ILMDInternal Medicine Physician
2009024755MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Vpa PC Internal Medicine CurrentSince Apr 6, 2024 Accepting new patients
Vpa PC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Cole Physician Services LLC CurrentSince Sep 18, 2015 Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Red Bud Illinois Hospital Company, LLC Past Accepting new patients
St. Sophia Healthcare, LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1000 Burr Ridge Pkwy
Ste 201
Burr Ridge, IL 60527
Phone (312) 818-4650

8706 Manchester Rd
Ste 106
Saint Louis, MO 63144
Phone (314) 961-3570

8710 Manchester Rd
Saint Louis, MO 63144
Phone (314) 961-3570

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1346350196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BURR RIDGE PKWY STE 201",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270864",
            "telephone_number": "312-818-4650",
            "fax_number": "855-618-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BURR RIDGE PKWY STE 201",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270864",
            "telephone_number": "312-818-4650",
            "fax_number": "855-618-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMAN",
        "first_name": "MOHAMMAD",
        "middle_name": "AMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2009024755",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.114379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114379",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "6032157",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.