NPIMap

Individual provider Active NPI

Ahmad Abu Homoud

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1568872273
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036143696 Issued in IL
Practice address
1950 W. Polk Street
Professional Building 8TH Floor
Chicago, IL 60612
Phone
(312) 323-0198
NPI assigned
May 2, 2014
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036143696 IL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036143696 IL
Pulmonary Disease Physician 207RP1001X 036143696 IL

Addresses

Primary practice location

1950 W. Polk Street
Professional Building 8TH Floor
Chicago, IL 60612

Mailing address

1969 W Ogden Ave BLDG 8TH
Chicago, IL 60612-3765
Phone (312) 323-0198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200528001175 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0042554784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Pulmonary, PAGroup PAC ID 3173593431, 18 clinicians

Practice addresses (Care Compare)

1608 Route 88
Suite 117
Brick, NJ 08724-3044
Phone (732) 775-9075

2640 Hwy 70
Suite 6a
Manasquan, NJ 08736-2610
Phone (732) 775-9075

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Pulmonary, PA Pulmonary Disease CurrentSince Jul 1, 2020 Accepting new patients

Locations

1608 Route 88 W
Ste 117
Brick, NJ 08724
Phone (732) 775-9075

2640 Highway 70
Ste 6A
Manasquan, NJ 08736
Phone (732) 528-5900

301 Bingham Ave
Ocean, NJ 07712
Phone (732) 775-9075

301 Bingham Ave
Ste 1B
Ocean, NJ 07712
Phone (732) 775-9075

301 Bingham Ave
Ste B
Ocean, NJ 07712
Phone (732) 575-1100

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.351
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJHEDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1568872273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 W OGDEN AVE BLDG 8TH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123765",
            "telephone_number": "312-323-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W. POLK STREET",
            "address_2": "PROFESSIONAL BUILDING 8TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-323-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU HOMOUD",
        "first_name": "AHMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-02",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036143696",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036143696",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036143696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.