Individual provider Active NPI

Asharaf T Dabawala, M.D.

  • Family Medicine Physician
  • Schaumburg, IL
National Provider Identifier
1528078656
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
1301 N Plum Grove Rd
Schaumburg, IL 60173-4547
Phone
(847) 490-0600
Fax
(847) 490-0996
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

1301 N Plum Grove Rd
Schaumburg, IL 60173-4547

Mailing address

1301 N Plum Grove Rd
Schaumburg, IL 60173-4547
Phone (847) 490-0600

Other identifiers 1

IdentifierTypeStateIssuer
31604064OtherILBC BS

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
I20070731000640 IL Practitioner - Family Practice 1254238041

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Medical Center, LTD. Family Medicine CurrentSince Aug 12, 1991 Accepting new patients

Locations

1301 N Plum Grove Rd
Schaumburg, IL 60173
Phone (847) 490-0600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1528078656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N PLUM GROVE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734547",
            "telephone_number": "847-490-0600",
            "fax_number": "847-490-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N PLUM GROVE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734547",
            "telephone_number": "847-490-0600",
            "fax_number": "847-490-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAWALA",
        "first_name": "ASHARAF",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "31604064",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.