Metropolitan Cardiovascular Associates LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036087491 Issued in IL

Legal business name

METROPOLITAN CARDIOVASCULAR ASSOCIATES LLC

Practice address

303 E. Army Trail Rd
Suite 417
Bloomingdale, IL 60108

Phone

(708) 359-8051

Fax

(224) 653-9645

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Aziz Ahmed, M.D.NPI 1962403998

Title

Interventional Cardiologist

Phone

(630) 532-8999

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aziz Ahmed, M.D.

  • Interventional Cardiology Physician
  • Bloomingdale, IL
  • NPI 1962403998

  IL

  Medicare reassignment Authorized official
• Anna Koziol, APN-CNP

  • Family Nurse Practitioner
  • Schaumburg, IL
  • NPI 1851787733

  IL

  Medicare reassignment
• Mumtaz A Siddiqui, M.D.

  • Cardiovascular Disease Physician
  • Normal, IL
  • NPI 1679569925

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1457514960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E. ARMY TRAIL RD",
            "address_2": "SUITE 417",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "708-359-8051",
            "fax_number": "224-653-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E. ARMY TRAIL RD",
            "address_2": "SUITE 417",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "708-359-8051",
            "fax_number": "224-653-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN CARDIOVASCULAR ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AZIZ",
        "authorized_official_title_or_position": "INTERVENTIONAL CARDIOLOGIST",
        "authorized_official_telephone_number": "630-532-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036087491",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036087491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087491",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdullah Melhim, MD
• Renata Marie Mendez, DC
• Paul Steven Menet, MD
• Desirae Mercuri
• Jamie Lynn Marie Meskin
• Michael Vosicky DO Family Healthcare LLC
• Midwest Family Medicine
• Midwest Speech Therapy, PC
• Midwest Surgical Suites, LTD
• Midwest Therapy Group, Inc.

• All providers in Bloomingdale, IL
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.