Active NPI
Ardeshir R Medhat, MD
- Anesthesiology Physician
- Harvey, IL
National Provider Identifier
1598856643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Practice address
- One Ingalls Dr
Ingalls Memorial Hospital
Harvey, IL 60426 - Phone
- (708) 333-2300
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | IL | Primary |
Addresses
Primary practice location
One Ingalls Dr
Ingalls Memorial Hospital
Harvey, IL 60426
Mailing address
222 E Dundee Rd
Harvey Anesthesiologists SC
Wheeling, IL 60090
Phone (847) 520-0235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036048769 | IL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598856643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 E DUNDEE RD",
"address_2": "HARVEY ANESTHESIOLOGISTS SC",
"city": "WHEELING",
"state": "IL",
"postal_code": "60090",
"telephone_number": "847-520-0235",
"fax_number": "847-520-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE INGALLS DR",
"address_2": "INGALLS MEMORIAL HOSPITAL",
"city": "HARVEY",
"state": "IL",
"postal_code": "60426",
"telephone_number": "708-333-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDHAT",
"first_name": "ARDESHIR",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harvey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.