Organization Active NPI

Diabetes and Endocrinology Care

  • Endocrinology, Diabetes & Metabolism Physician
  • Glen Ellyn, IL
National Provider Identifier
1538835509
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
DIABETES AND ENDOCRINOLOGY CARE
Practice address
22W065 Ahlstrand Rd
Glen Ellyn, IL 60137-7198
Phone
(630) 234-4466
NPI assigned
Aug 19, 2021
Last updated
Aug 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Sana Shoaib Meah, DONPI 1043518244
Title
Owner
Phone
(630) 234-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Primary

Addresses

Primary practice location

22W065 Ahlstrand Rd
Glen Ellyn, IL 60137-7198

Mailing address

22W065 Ahlstrand Rd
Glen Ellyn, IL 60137-7198
Phone (630) 234-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220923001183 IL Part B Supplier - Clinic/Group Practice 3072998202 Receives reassigned benefits from 1 practitioner
Practice locations: Downers Grove, IL

National Provider Directory

National Provider Directory

Locations

4121 Fairview Ave
Bsmt
Downers Grove, IL 60515
Phone (630) 866-6334

2001 Midwest Rd
Ste 305
Oak Brook, IL 60523
Phone (630) 234-4466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1538835509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22W065 AHLSTRAND RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377198",
            "telephone_number": "630-234-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22W065 AHLSTRAND RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377198",
            "telephone_number": "630-234-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND ENDOCRINOLOGY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "MEAH",
        "authorized_official_first_name": "SANA",
        "authorized_official_middle_name": "SHOAIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-234-4466",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.