Active NPI
Mubashir Ahmed, M.D.
- Cardiovascular Disease Physician
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036-106610
- Practice address
- 4309 W Medical Center Dr Ste A200
McHenry, IL 60050-8437 - Phone
- (815) 759-8070
- Fax
- (815) 759-4931
- NPI assigned
- Jul 26, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Cardiology Physician | 207UN0901X | 036106610 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036-106610 | IL | Primary |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 036106610 | IL |
Addresses
Primary practice location
4309 W Medical Center Dr Ste A200
McHenry, IL 60050-8437
Mailing address
4309 W Medical Center Dr Ste A200
McHenry, IL 60050-8437
Phone (815) 759-8070
Other practice location 1
1340 Charles St
Suite 300
Rockford, IL 61104-2200
Phone (779) 696-5888
Other practice location 2
10400 Haligus Rd
Huntley, IL 60142
Phone (224) 654-0000
Other practice location 3
10400 Haligus Rd
Huntley, IL 60142
Phone (224) 654-0000
Other practice location 4
360 Station Dr Fl 3
Crystal Lake, IL 60014-7978
Phone (815) 759-8070
Other practice location 5
10370 Haligus Rd Ste 200
Huntley, IL 60142-9582
Phone (815) 759-8070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036106610 | Other | IL | STATE LICENSE |
| 34276500 | Medicaid | WI |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140801000032 | IL | Practitioner - Cardiovascular Disease (Cardiology) | 1951351568 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northwestern Medical Faculty Foundation
Practice addresses (Care Compare)
10350 Haligus Rd
Huntley, IL 60142-9545
10350 Haligus Rd
Suite 210
Huntley, IL 60142-9585
Phone (847) 535-6083
10370 Haligus Rd
Huntley, IL 60142-9582
10400 Haligus Rd
Huntley, IL 60142-9553
2507 N Richmond Rd
Suite B
McHenry, IL 60051-5407
Phone (815) 206-7500
260 E Congress Pkwy
Crystal Lake, IL 60014-6235
3701 Doty Rd
Woodstock, IL 60098-7509
Phone (815) 759-4323
4201 W Medical Ctr Dr
McHenry, IL 60050-8409
Phone (815) 759-4323
4309 W Medical Ctr Dr
Suite A200
McHenry, IL 60050-8437
Phone (815) 759-8070
4309 W Medical Ctr Dr
Suite A201
McHenry, IL 60050-8411
Phone (815) 759-8070
515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870
660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
- Northwestern Medicine McHenry
- Northwestern Medicine Central Dupage Hospital
- Advocate Sherman Hospital
- Northwestern Lake Forest Hospital
- Northwestern Medicine Delnor Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-106610 | IL | MD | Cardiovascular Disease Physician |
| 036106610 | IL | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Internal Medicine | Current | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
360 N Terra Cotta Rd
Ste C
Crystal Lake, IL 60012
Phone (815) 206-5700
360 Station Dr
Fl 3
Crystal Lake, IL 60014
Phone (815) 759-8070
11650 S State Route 47
Huntley, IL 60142
Phone (847) 802-7300
10370 Haligus Rd
Ste 200
Huntley, IL 60142
Phone (815) 759-8070
10400 Haligus Rd
Huntley, IL 60142
Phone (224) 654-0000
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
4309 W Medical Center Dr
Ste A200
McHenry, IL 60050
Phone (815) 759-4699
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Organizations & group practices 17
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
IL
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
IL, Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Durable Medical Equipment & Medical Supplies
- Evanston, IL
- NPI 1124733019
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1275759789
-
- Durable Medical Equipment & Medical Supplies
- Glenview, IL
- NPI 1316590409
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1376961524
-
- Eyewear Supplier
- Evanston, IL
- NPI 1427741909
-
- Durable Medical Equipment & Medical Supplies
- Lake Forest, IL
- NPI 1467005520
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1497308340
-
- Durable Medical Equipment & Medical Supplies
- Oak Brook, IL
- NPI 1497516454
-
- Optometrist
- Chicago, IL
- NPI 1588063572
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1366466377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 W MEDICAL CENTER DR STE A200",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508437",
"telephone_number": "815-759-8070",
"fax_number": "815-759-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 W MEDICAL CENTER DR STE A200",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508437",
"telephone_number": "815-759-8070",
"fax_number": "815-759-4931"
}
],
"practiceLocations": [
{
"address_1": "1340 Charles St",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611042200",
"country_code": "US",
"telephone_number": "779-696-5888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10400 Haligus Rd",
"address_purpose": "LOCATION",
"city": "Huntley",
"state": "IL",
"postal_code": "60142",
"country_code": "US",
"telephone_number": "224-654-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10400 Haligus Rd",
"address_purpose": "LOCATION",
"city": "Huntley",
"state": "IL",
"postal_code": "60142",
"country_code": "US",
"telephone_number": "224-654-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Station Dr Fl 3",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600147978",
"country_code": "US",
"telephone_number": "815-759-8070",
"fax_number": "815-759-4931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10370 Haligus Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Huntley",
"state": "IL",
"postal_code": "601429582",
"country_code": "US",
"telephone_number": "815-759-8070",
"fax_number": "815-759-4931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMED",
"first_name": "MUBASHIR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "IL",
"license": "036106610",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036-106610",
"primary": true
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "IL",
"license": "036106610",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036106610",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34276500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.