Tasneem Ahmed, MD
Individual provider Active NPI Emergency Medicine Physician · Lafayette, IN
NPI 1578023701 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1578023701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 036-161579 (IL)
- Practice address
- 1701 S Creasy LN
Lafayette, IN 47905-4972 - Phone
- (765) 502-4000
- NPI assigned
- Mar 22, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dupage Emergency Physicians Convenient Care LLC
Dupage Emergency Physicians LTD
Practice addresses (Care Compare)
15900 W 127TH St
Lemont, IL 60439-2910
Phone (630) 243-7100
3815 Highland Ave
Downers Grove, IL 60515-1500
Phone (630) 275-5900
Hospital & facility affiliations
- Advocate Good Samaritan Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230220002459 | IL | Practitioner - Emergency Medicine | 9133507031 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-161579 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Illinois Emergency Medicine Specialists, LLC | Current |
Accepting new patients | |
| Elmhurst Memorial Hospital | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Dupage Emergency Physicians Convenient Care LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650
500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
6840 Main St
Downers Grove, IL 60516
Phone (630) 275-6840
3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900
15900 W 127th St
Lemont, IL 60439
Phone (630) 243-7100
4440 W 95th St
#1317H
Oak Lawn, IL 60453
Phone (708) 684-5445
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200
Interoperability endpoints
- tahmed229369@direct.myadvocateaurora.org
- tahmed256517@direct.edward.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01087472A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 036-161579 | IL | Yes |
Addresses
Primary practice location
1701 S Creasy LN
Lafayette, IN 47905-4972
Mailing address
1620 S Michigan Ave Unit 503
Chicago, IL 60616-4688
Phone (248) 633-3743
Other practice location 1
4440 W 95th St
Oak Lawn, IL 60453-2600
Phone (708) 684-5354
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tahmed229369@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Lafayette, IN
- Hassan Imtiaz Ahmad
- Naveed Ahmad
- Saeed Ahmad
- Usman Ahmad
- Mahrosh Ahmed
- Navid Ahsani
- Olushola Oluwole Ajadi
- Olusina Akande
- Rukayat Olabisi Akande
- Elizabeth Hein Akey
All providers in Lafayette, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.