Swan Primary Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SWAN PRIMARY CARE PLLC

Practice address

303 E Army Trail Rd Ste 111
Bloomingdale, IL 60108-2140

Phone

(630) 931-2929

Fax

(833) 731-0578

NPI assigned

Feb 23, 2021

Last updated

Jan 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sunnan Moinuddin, MDNPI 1497140727

Title

Owner

Phone

(630) 456-0307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23850/brand/1/csg/1/fhir/r4

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sunnan Moinuddin, MD

  • Internal Medicine Physician
  • Bloomingdale, IL
  • NPI 1497140727
  Medicare reassignment Care Compare group NPD Authorized official
• Wahaj Ahmed, M.D.

  • Internal Medicine Physician
  • Bloomingdale, IL
  • NPI 1750834628
  Medicare reassignment Care Compare group NPD
• Rohini Attavane

  • Family Nurse Practitioner
  • Westmont, IL
  • NPI 1447771860
  Medicare reassignment Care Compare group NPD
• Abdullah Zeeshan Farooqui

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1629647169
  Medicare reassignment Care Compare group NPD
• Aaron Go, APRN

  • Acute Care Nurse Practitioner
  • Glendale Heights, IL
  • NPI 1427910678
  Medicare reassignment Care Compare group NPD
• Rose M. Hernandez

  • Family Nurse Practitioner
  • Bourbonnais, IL
  • NPI 1699337329
  Medicare reassignment Care Compare group NPD
• Peter Kuta

  • Family Nurse Practitioner
  • Elmhurst, IL
  • NPI 1508382375
  Medicare reassignment Care Compare group NPD
• Patricia Dominika Ludwikowska

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1699319723
  Medicare reassignment Care Compare group NPD
• Sakeenah G Latifi, PA-C

  • Physician Assistant
  • Bloomingdale, IL
  • NPI 1558950600
  Medicare reassignment Care Compare group
• Kristine L Bautista

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1689220261
  Medicare reassignment NPD
• Mir Mannan Ali Hashmi, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1205405503
  Medicare reassignment NPD
• Annmary Kachappilly

  • Family Nurse Practitioner
  • Glendale Heights, IL
  • NPI 1477294809
  Medicare reassignment NPD

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1376137083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 111",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082140",
            "telephone_number": "630-931-2929",
            "fax_number": "833-731-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 111",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082140",
            "telephone_number": "630-931-2929",
            "fax_number": "833-731-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "MOINUDDIN",
        "authorized_official_first_name": "SUNNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-456-0307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle L Szwedo, M.D.
• Bojana Tadic, APRN, CNP

• Internal Medicine Physician in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.