Bakhtawar Usman, PA-C, CAQ-PSYCH

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085007923 Issued in IL

Practice address

4300 Weaver Pkwy Ste 100a
Warrenville, IL 60555-3920

Phone

(630) 416-8289

Fax

(630) 416-8306

NPI assigned

May 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Conventions Psychiatry and Counseling PCGroup PAC ID 0143113027, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Conventions Psychiatry & Counseling, P.C.

  • Psychiatry Physician
  • Warrenville, IL
  • NPI 1053355289
  Medicare reassignment Care Compare group
• Clarity Clinic PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1063803856
  Medicare reassignment
• Seema Elahi, M.D., Inc.

  • Internal Medicine Physician
  • Lombard, IL
  • NPI 1912379942
  Medicare reassignment
• Seema Elahi, M.D., Inc.

  • Clinical Medical Laboratory
  • Lombard, IL
  • NPI 1528705175
  NPD

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1376167031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 WEAVER PKWY STE 100A",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553920",
            "telephone_number": "630-416-8289",
            "fax_number": "634-416-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WEAVER PKWY STE 100A",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553920",
            "telephone_number": "630-416-8289",
            "fax_number": "630-416-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USMAN",
        "first_name": "BAKHTAWAR",
        "credential": "PA-C, CAQ-PSYCH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085007923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Tyndall, OTR/L
• Alyse Noel Uhler, PHYSICIAN ASSISTANT
• Ashley Ullyot, LMFT
• Union Eyes LLC
• Radha Krishna Upputuri, M.D.
• Faaiza T Vaince, MD
• Lauren Ventura
• Michael S Vercillo, M.D.
• Teri Ann Vignola, APRN, CNP
• Jason Villanueva

• Physician Assistant in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.