Active NPI
Nasir J Ahmad, M.D.
- Specialist
- South Elgin, IL
National Provider Identifier
1447364526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036-045126
- Practice address
- 296 W Spring St
South Elgin, IL 60177-1534 - Phone
- (847) 697-2692
- Fax
- (847) 697-8370
- NPI assigned
- Aug 18, 2006
- Last updated
- Jun 22, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 036-045126 | IL | Primary |
Addresses
Primary practice location
296 W Spring St
South Elgin, IL 60177-1534
Mailing address
296 W Spring St
South Elgin, IL 60177-1534
Phone (847) 697-2691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036045126 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-045126 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampshire Clinic SC | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1447364526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 W SPRING ST",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601771534",
"telephone_number": "847-697-2691",
"fax_number": "847-697-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 W SPRING ST",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601771534",
"telephone_number": "847-697-2692",
"fax_number": "847-697-8370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "NASIR",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036-045126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036045126",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.