Individual provider Active NPI

Saima Ali

  • Dentist
  • Elgin, IL
National Provider Identifier
1548675499
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019030237 Issued in IL
Practice address
2415 Bowes Rd Ste 110
Elgin, IL 60123-5535
Phone
(847) 386-4300
NPI assigned
Jun 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61009 KS
Dentist 122300000X 019030237 IL Primary

Addresses

Primary practice location

2415 Bowes Rd Ste 110
Elgin, IL 60123-5535

Mailing address

2415 Bowes Rd Ste 110
Elgin, IL 60123-5535
Phone (847) 386-4300

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200805001140 IL Practitioner - Dentist 4880984194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61009KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partnership of Illinois CurrentSince Jun 27, 2020 Accepting new patients
Community Health Partnership of Illinois CurrentSince Jun 27, 2020 Accepting new patients
Yousaf Ahmad DDS LLC Past Accepting new patients

Locations

157 S Lincoln Ave
Ste D
Aurora, IL 60505
Phone (630) 859-0015

205 W Randolph St
Ste 2222
Chicago, IL 60606
Phone (312) 795-0000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1548675499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 BOWES RD STE 110",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235535",
            "telephone_number": "847-386-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 BOWES RD STE 110",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235535",
            "telephone_number": "847-386-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SAIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61009",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.