NPIMap

Individual provider Active NPI

Syed S Asghar, M.D.

  • Internal Medicine Physician
  • Crystal Lake, IL
National Provider Identifier
1629182712
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0360762111 Issued in IL
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
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 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

Other identifiers 1

IdentifierTypeStateIssuer
0360762111MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070913000762 IL Practitioner - Internal Medicine 7315030046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syed S. Asghar M.D.P.C.Group PAC ID 7618060344, 2 clinicians

Practice addresses (Care Compare)

2425 Royal Blvd
Suite 3
Elgin, IL 60123-2527
Phone (847) 428-0400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0360762111ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Syed S. Asghar M.D.P.C. Internal Medicine CurrentSince Jan 1, 1987 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: sasghar288332@direct.myadvocateaurora.org

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629182712",
    "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": {
        "last_name": "ASGHAR",
        "first_name": "SYED",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "0360762111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360762111",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.