Individual provider Active NPI

Maryam Afsheen Syed, M.D.

  • Internal Medicine Physician
  • Schaumburg, IL
National Provider Identifier
1447513676
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036139081 Issued in IL
Practice address
800 E Woodfield Rd
Suite 102
Schaumburg, IL 60173-4717
Phone
(847) 995-9500
Fax
(847) 995-9501
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036139081 IL Primary

Addresses

Primary practice location

800 E Woodfield Rd
Suite 102
Schaumburg, IL 60173-4717

Mailing address

800 E Woodfield Rd
Suite 102
Schaumburg, IL 60173-4717
Phone (847) 995-9500

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
I20150604002315 IL Practitioner - Internal Medicine 4486975265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Medical and Wellness Center LLCGroup PAC ID 2163648213, 7 clinicians
Khushi Jenna Partnership LLCGroup PAC ID 2163569252, 7 clinicians

Practice addresses (Care Compare)

800 E Woodfield Rd
Suite 102
Schaumburg, IL 60173-4780
Phone (847) 995-9500

800 Woodfield Rd
Suite 102
Schaumburg, IL 60173-4717
Phone (847) 995-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036139081ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Medical & Wellness Center, LLC Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
Northwest Primary Care PC Internal Medicine CurrentSince Jun 21, 2017 Accepting new patients
Khushi Jenna Partnership, LLC Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients

Locations

2214 Huntington Dr N
Algonquin, IL 60102
Phone (224) 348-7981

1900 Army Trail Rd
Hanover Park, IL 60133
Phone (847) 955-9500

806 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 278-1243

800 E Woodfield Rd
Ste 102
Schaumburg, IL 60173
Phone (312) 248-7695

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1447513676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E WOODFIELD RD",
            "address_2": "SUITE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734717",
            "telephone_number": "847-995-9500",
            "fax_number": "847-995-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E WOODFIELD RD",
            "address_2": "SUITE 102",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734717",
            "telephone_number": "847-995-9500",
            "fax_number": "847-995-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "MARYAM",
        "middle_name": "AFSHEEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036139081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.