Individual provider Active NPI

Riaz A Akhtar, MD

  • Cardiovascular Disease Physician
  • Oak Brook Terrace, IL
National Provider Identifier
1407877160
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1L00336477611 Issued in IL
Practice address
1S085 Summit Ave
Cardio Medical Center
Oak Brook Terrace, IL 60181
Phone
(630) 629-6700
Fax
(630) 629-1888
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1L00336477611 IL
Cardiovascular Disease Physician 207RC0000X 1L00336477611 IL Primary

Addresses

Primary practice location

1S085 Summit Ave
Cardio Medical Center
Oak Brook Terrace, IL 60181

Mailing address

1S085 Summit Ave
Cardio Medical Center
Oak Brook Terrace, IL 60181
Phone (630) 629-6700

Other identifiers 1

IdentifierTypeStateIssuer
036047761MedicaidIL

Other names 1

  • Dr. Riaz A Akhtar Other name

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
I20050512000362 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8921048612 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1L00336477611ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of Illinois, LLC CurrentSince Apr 1, 2016 Accepting new patients
Jefferson Park Medical Group, P.C. CurrentSince Jan 12, 2011 Accepting new patients
Jr Chhibber MD S.C Past Accepting new patients
Riaz a. Akhtar Cardiovascular Disease Past Accepting new patients
Multispecialty Medical Center LTD Past Accepting new patients

Locations

5906 N Milwaukee Ave
Chicago, IL 60646
Phone (773) 774-7300

2601 Compass Rd
Ste 140
Glenview, IL 60026
Phone (224) 803-2292

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1407877160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S085 SUMMIT AVE",
            "address_2": "CARDIO MEDICAL CENTER",
            "city": "OAK BROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-629-6700",
            "fax_number": "630-629-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S085 SUMMIT AVE",
            "address_2": "CARDIO MEDICAL CENTER",
            "city": "OAK BROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-629-6700",
            "fax_number": "630-629-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHTAR",
        "first_name": "RIAZ",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "1L00336477611",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "1L00336477611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047761",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIAZ",
            "last_name": "AKHTAR",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Brook Terrace, IL

Sources for this page

Verify at the official NPI Registry.