Individual provider Active NPI

Nasreen A Ahmed, MD

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1366516445
Registry record updated Mar 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036055359 Issued in IL
Practice address
6449 S Pulaski Rd
Chicago, IL 60629
Phone
(773) 581-7300
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036055359 IL Primary

Addresses

Primary practice location

6449 S Pulaski Rd
Chicago, IL 60629

Mailing address

6449 S Pulaski Rd
Chicago, IL 60629
Phone (773) 581-7300

Other identifiers 2

IdentifierTypeStateIssuer
31602983OtherILBCBS
036055369MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813000550 IL Practitioner - Anesthesiology 8426021932 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036055359ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernard Hospital & Health Care Center CurrentSince Oct 6, 2017 Accepting new patients
Stat Anesthesia Specialists, LTD. Anesthesiology CurrentSince Dec 31, 2022 Accepting new patients
St Bernard Hospital Anesthesiology CurrentSince Oct 6, 2017 Accepting new patients
Ias Illinois PC Anesthesiology CurrentSince Sep 18, 2023 Accepting new patients
Madison Avenue Anesthesia Placement Services Anesthesiology Past Accepting new patients

Locations

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

18221 Torrence Ave
Ste 1B
Lansing, IL 60438
Phone (708) 474-7600

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

150 W High St
Morris, IL 60450
Phone (815) 942-2129

9200 Calumet Ave
Ste E-100
Munster, IN 46321
Phone (219) 682-4051

Organizations & group practices 5

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395446400000",
    "number": "1366516445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60629",
            "telephone_number": "773-581-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60629",
            "telephone_number": "773-581-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "NASREEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036055359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31602983",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055369",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.