Active NPI
Ahmad M Almawaldi, NP
- Nurse Practitioner
- Lisle, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.027868
- Practice address
- 550 Warrenville Rd Ste 200
Lisle, IL 60532-4311 - Phone
- (872) 250-3618
- NPI assigned
- Apr 19, 2023
- Last updated
- Feb 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.027868 | IL | Primary |
| Registered Nurse | 163W00000X | 041467177 | IL |
Addresses
Primary practice location
550 Warrenville Rd Ste 200
Lisle, IL 60532-4311
Mailing address
641 E Pershing Rd Unit 202
Chicago, IL 60653-1977
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1311 Parkview Ave
Rockford, IL 61107-1818
Phone (815) 399-8832
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.027868 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellbe Senior Medical Illinois PC | Current | Accepting new patients | |
| Applebaum Physiatry PLLC | Current | Accepting new patients |
Locations
225 W Washington St
Ste 1500
Chicago, IL 60606
Phone (312) 776-2422
225 W Washington St
Ste 1700
Chicago, IL 60606
Phone (234) 200-4220
5061 N Pulaski Rd
Chicago, IL 60630
Phone (773) 478-1186
550 Warrenville Rd
Ste 200
Lisle, IL 60532
Phone (312) 776-2422
550 Warrenville Rd
Ste 300
Lisle, IL 60532
Phone (630) 725-7204
1311 Parkview Ave
Rockford, IL 61107
Phone (815) 395-8700
128 S East St
Unit 1109
Crown Point, IN 46308
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1366139537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 E PERSHING RD UNIT 202",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606531977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 WARRENVILLE RD STE 200",
"city": "LISLE",
"state": "IL",
"postal_code": "605324311",
"telephone_number": "872-250-3618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALMAWALDI",
"first_name": "AHMAD",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-19",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.027868",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041467177",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lisle, IL
- Akweli Mental Space PLLC
- Janelle Aldana, LCSW
- All Access Dietitians PLLC
- All Sufficient Palliative and Hospice Care
- Adam Almaraz
- Amanullah Siddiqui MD (Zoha Medical Consulting, LLC)
- Amazing Care, Inc.
- Ambientminds Behavioral & Wellness Center PLLC
- American Drug Stores LLC (Osco Drug #0056)
- Jessica Amini Panah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.