Individual provider Active NPI

Javeed Akhter, MD

  • Pediatric Pulmonology Physician
  • Crest Hill, IL
National Provider Identifier
1457434235
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
036054462 Issued in IL
Practice address
16151 Weber Rd
Suite 101
Crest Hill, IL 60403-0864
Phone
(815) 588-5012
Fax
(815) 588-5015
NPI assigned
Oct 23, 2006
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 036054462 IL Primary

Addresses

Primary practice location

16151 Weber Rd
Suite 101
Crest Hill, IL 60403-0864

Mailing address

16151 Weber Rd
Suite 101
Crest Hill, IL 60403-0864
Phone (815) 588-5012

Other identifiers 1

IdentifierTypeStateIssuer
036054462MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jakhter206079@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20140808000698 IL Practitioner - Pulmonary DiseasePractitioner - Pediatric MedicinePractitioner - Allergy/Immunology 3072730498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Allergy/Immunology, Pediatric Medicine
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

4440 W 95TH St
Oak Lawn, IL 60453-2600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Jul 21, 2014 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 21, 2014 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

Organizations & group practices 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1457434235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16151 WEBER RD",
            "address_2": "SUITE 101",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030864",
            "telephone_number": "815-588-5012",
            "fax_number": "815-588-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 WEBER RD",
            "address_2": "SUITE 101",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030864",
            "telephone_number": "815-588-5012",
            "fax_number": "815-588-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHTER",
        "first_name": "JAVEED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "IL",
            "license": "036054462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054462",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jakhter206079@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16151 Weber Rd",
            "address_2": "Suite 101",
            "city": "Crest Hill",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604030864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "16151 Weber Rd",
            "address_2": "Suite 101",
            "city": "Crest Hill",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604030864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

Verify at the official NPI Registry.