Individual provider Active NPI

Ahmed N Hassan, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Naperville, IL
National Provider Identifier
1548426745
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
036121123 Issued in IL
Practice address
801 S. Washington St
6TH Floor Cnicu
Naperville, IL 60540-6054
Phone
(630) 527-7235
NPI assigned
Aug 6, 2008
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2010030926 MO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036121123 IL Primary

Addresses

Primary practice location

801 S. Washington St
6TH Floor Cnicu
Naperville, IL 60540-6054

Mailing address

801 S. Washington St
6TH Floor Cnicu
Naperville, IL 60540
Phone (630) 527-7235

Other practice location 1

912 S Wood St
M/C 796
Chicago, IL 60612-4300
Phone (312) 355-1528

Other identifiers 5

IdentifierTypeStateIssuer
P01308445OtherILMEDICARE RAILROAD (INDIVIDUAL)
206147OtherILMEDICARE PTAN (GROUP)
206147244OtherILMEDICARE PTAN (INDIVIDUAL)
010030926MedicaidIL
CA4748OtherILMEDICARE RAILROAD (GROUP)

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahassan185587@direct.edward.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090630000202 IL Practitioner - Critical Care (Intensivists)Practitioner - Neurology 8123179348 Reassigns benefits to 4 organizations
I20160303000793 SD Practitioner - Neurology 8123179348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Neurology
Education
University of Missouri, Kansas City, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Oct 24, 2014 Accepting new patients
Edward Health Ventures CurrentSince Dec 1, 2018 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Sanford Clinic CurrentSince Jan 23, 2016 Accepting new patients
Sanford Clinic CurrentSince Jan 23, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Sanford Clinic Current Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 1, 2023 Accepting new patients
The Board of Trustees of the University of Illinois Critical Care Medicine CurrentSince Oct 24, 2014 Accepting new patients
Edward Health Ventures CurrentSince Dec 1, 2018 Accepting new patients
The Board of Trustees of the University of Illinois Neurology CurrentSince Oct 24, 2014 Accepting new patients
The Board of Trustees of the University of Illinois PastSince Sep 15, 2017 Accepting new patients
Rush University Medical Center Neurology Past Accepting new patients

Locations

1725 W Harrison St
Ste 1106
Chicago, IL 60612
Phone (312) 563-2144

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

912 S Wood St
#796
Chicago, IL 60612
Phone (312) 413-1293

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

801 S Washington St
Fl 6
Naperville, IL 60540
Phone (630) 527-7235

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

4440 W 95th St
Ste Aip
Oak Lawn, IL 60453
Phone (708) 684-8000

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

Interoperability endpoints

  • Direct secure messaging: ahassan185587@direct.edward.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1548426745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S. WASHINGTON ST",
            "address_2": "6TH FLOOR CNICU",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-527-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S. WASHINGTON ST",
            "address_2": "6TH FLOOR CNICU",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406054",
            "telephone_number": "630-527-7235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 S Wood St",
            "address_2": "M/C 796",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124300",
            "country_code": "US",
            "telephone_number": "312-355-1528",
            "fax_number": "312-413-8215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "AHMED",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2021-02-04",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2010030926",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036121123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD (INDIVIDUAL)",
            "identifier": "P01308445",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (GROUP)",
            "identifier": "206147",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (INDIVIDUAL)",
            "identifier": "206147244",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010030926",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD (GROUP)",
            "identifier": "CA4748",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahassan185587@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "801 S. Washington St",
            "address_2": "6th floor CNICU",
            "city": "naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.