Active NPI
Mary Ahn, MD
- Surgery Physician
- Winfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036-096682
- Practice address
- 25 N Winfield Rd Ste 2202
Winfield, IL 60190-1379 - Phone
- (630) 307-7799
- Fax
- (630) 307-2277
- NPI assigned
- May 17, 2006
- Last updated
- Nov 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036-096682 | IL | Primary |
Addresses
Primary practice location
25 N Winfield Rd Ste 2202
Winfield, IL 60190-1379
Mailing address
25 N Winfield Rd Ste 2202
Winfield, IL 60190-1379
Phone (630) 307-7799
Other practice location 1
304 Randall Rd
Geneva, IL 60134-4200
Phone (630) 307-7799
Other practice location 2
4405 Weaver Pkwy
Warrenville, IL 60555-3269
Phone (630) 307-7799
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036096682 | Medicaid | IL | |
| 206147228 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| 206147 | Other | IL | MEDICARE PTAN (GROUP) |
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 352-5450
444 N Park Blvd
Glen Ellyn, IL 60137-4622
Phone (630) 469-0045
Hospital & facility affiliations
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine Delnor Community Hospital
- Northwestern Medicine McHenry
- Northwestern Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 66 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-096682 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| West Suburban Surgical Associates, LTD. | Surgery | Past | Accepting new patients |
| Mercy Hospital | Past | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients |
Locations
473 W Army Trail Rd
Ste 107
Bloomingdale, IL 60108
Phone (224) 520-8562
Dept 5777
Carol Stream, IL 60122
304 Randall Rd
Geneva, IL 60134
Phone (630) 232-0610
351 Delnor Dr
Geneva, IL 60134
Phone (630) 262-1001
444 N Park Blvd
Glen Ellyn, IL 60137
Phone (630) 469-0045
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
4405 Weaver Pkwy
Warrenville, IL 60555
Phone (630) 352-5450
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
25 N Winfield Rd
Ste 2202
Winfield, IL 60190
Phone (630) 352-5450
25 N Winfield Rd
Ste 410
Winfield, IL 60190
Phone (630) 665-2101
Organizations & group practices 9
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.
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
dba advanced breast care specialists
- Surgery Physician
- Bloomingdale, IL
- NPI 1184682478
-
dba Northern Light Mercy Health Center
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
dba Mercy Express Care Westbrook
- General Acute Care Hospital
- Westbrook, ME
- NPI 1801234182
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Northwestern Medicine Delnor Community Hospital
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
-
dba Centegra Hospital McHenry
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1407809056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N WINFIELD RD STE 2202",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901379",
"telephone_number": "630-307-7799",
"fax_number": "630-307-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N WINFIELD RD STE 2202",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901379",
"telephone_number": "630-307-7799",
"fax_number": "630-307-2277"
}
],
"practiceLocations": [
{
"address_1": "304 Randall Rd",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "IL",
"postal_code": "601344200",
"country_code": "US",
"telephone_number": "630-307-7799",
"fax_number": "630-307-2277",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4405 Weaver Pkwy",
"address_purpose": "LOCATION",
"city": "Warrenville",
"state": "IL",
"postal_code": "605553269",
"country_code": "US",
"telephone_number": "630-307-7799",
"fax_number": "630-307-2277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHN",
"first_name": "MARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036-096682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036096682",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "206147228",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (GROUP)",
"identifier": "206147",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.