Sana Shireen Ahmed, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

125.056447 Issued in IL

Practice address

3010 Grand Ave
Waukegan, IL 60085-2321

Phone

(847) 377-8130

Fax

(847) 984-5680

NPI assigned

Jul 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• County of Lake

  • Public Health or Welfare Agency
  • Waukegan, IL
  • NPI 1013920750

  IL

  Medicare reassignment Care Compare group NPD
• County of Lake

  • Federally Qualified Health Center (FQHC)
  • Round Lake, IL
  • NPI 1639588254
  Care Compare group NPD
• County of Lake

  • Federally Qualified Health Center (FQHC)
  • Zion, IL
  • NPI 1023047164
  Care Compare group NPD (past)
• County of Lake

  • Federally Qualified Health Center (FQHC)
  • North Chicago, IL
  • NPI 1083643118
  Care Compare group
• County of Lake

  • Federally Qualified Health Center (FQHC)
  • Waukegan, IL
  • NPI 1174552293
  Care Compare group
• County of Lake

  • Federally Qualified Health Center (FQHC)
  • Waukegan, IL
  • NPI 1235453309
  Care Compare group
• County of Lake

  • Federally Qualified Health Center (FQHC)
  • Highland Park, IL
  • NPI 1285663328
  Care Compare group
• County of Lake

  • Federally Qualified Health Center (FQHC)
  • Libertyville, IL
  • NPI 1679900229
  Care Compare group
• County of Lake

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Waukegan, IL
  • NPI 1720290091
  Care Compare group
• County of Lake

  • Federally Qualified Health Center (FQHC)
  • Round Lake Beach, IL
  • NPI 1750310884
  Care Compare group
• County of Lake

  • Federally Qualified Health Center (FQHC)
  • Waukegan, IL
  • NPI 1992155022
  Care Compare group

Specialty

Infectious Disease

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of Lake 42 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sana.ahmed.p1@direct.lakecountyil.nextgenshare.com

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1497985980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 IVY LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261087",
            "telephone_number": "847-803-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 GRAND AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852321",
            "telephone_number": "847-377-8130",
            "fax_number": "847-984-5680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Keller Ave",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600855008",
            "country_code": "US",
            "telephone_number": "847-377-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SANA",
        "middle_name": "SHIREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.056447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Waukegan, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.