Active NPI
Neerja Ahlowalia, MD
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1508850439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036064624
- Practice address
- 7906 S Crandon Ave
Suite 3
Chicago, IL 60617-1146 - Phone
- (773) 933-0800
- Fax
- (773) 933-5425
- NPI assigned
- Sep 7, 2005
- Sex
- Female
- Sole proprietor
- Yes
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090903000286 | IL | Practitioner - Internal Medicine | 1153476742 | Practice locations: Chicago, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036064624 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7906 S Crandon Ave
Suite 3
Chicago, IL 60617-1146
Mailing address
7906 S Crandon Ave
Suite 3
Chicago, IL 60617-1146
Phone (773) 933-0800
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036064624 | Medicaid | IL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2011.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1508850439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7906 S CRANDON AVE",
"address_2": "SUITE 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606171146",
"telephone_number": "773-933-0800",
"fax_number": "773-933-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7906 S CRANDON AVE",
"address_2": "SUITE 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606171146",
"telephone_number": "773-933-0800",
"fax_number": "773-933-5425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHLOWALIA",
"first_name": "NEERJA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036064624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036064624",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.