Organization Active NPI

Syed S. Asghar M.D.P.C.

  • Internal Medicine Physician
  • Crystal Lake, IL
National Provider Identifier
1609980754
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0360762111 Issued in IL
Legal business name
SYED S. ASGHAR M.D.P.C.
Practice address
80 N Virginia St
Suite a
Crystal Lake, IL 60014-4158
Phone
(815) 459-3030
Fax
(815) 459-9709
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Syed S Asghar III, M.D.NPI 1629182712
Title
President
Phone
(815) 459-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0360762111 IL Primary

Addresses

Primary practice location

80 N Virginia St
Suite a
Crystal Lake, IL 60014-4158

Mailing address

80 N Virginia St
Suite a
Crystal Lake, IL 60014-4158
Phone (815) 459-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070911000362 IL Part B Supplier - Clinic/Group Practice 7618060344 Receives reassigned benefits from 2 practitioners
Practice locations: Barrington, IL; Crystal Lake, IL; Elgin, IL; McHenry, IL

National Provider Directory

National Provider Directory
Tax ID family
Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2575 W Algonquin Rd
Ste C
Algonquin, IL 60102
Phone (847) 854-8595

80 N Virginia St
Ste A
Crystal Lake, IL 60014
Phone (815) 458-3030

2425 Royal Blvd
Ste 3
Elgin, IL 60123
Phone (847) 428-0400

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1609980754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 N VIRGINIA ST",
            "address_2": "SUITE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144158",
            "telephone_number": "815-459-3030",
            "fax_number": "815-459-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 N VIRGINIA ST",
            "address_2": "SUITE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144158",
            "telephone_number": "815-459-3030",
            "fax_number": "815-459-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED S. ASGHAR M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "ASGHAR",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-459-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "0360762111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.