Suresh Abad, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036-055365 Issued in IL

Practice address

6 E Phillip Rd
Vernon Hills, IL 60061-1700

Phone

(847) 680-0500

NPI assigned

Jul 5, 2006

Last updated

Mar 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lake County Acute Care, LLP

  • Family Medicine Physician
  • Gurnee, IL
  • NPI 1861599052

  Internal Medicine

  Medicare reassignment NPD
• Lake County Acute Care, LLP

  • Family Medicine Physician
  • Round Lake Beach, IL
  • NPI 1356448542

  Internal Medicine

  NPD
• Lake County Acute Care, LLP

  • Family Medicine Physician
  • Buffalo Grove, IL
  • NPI 1720185911

  Internal Medicine

  NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1639100126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR NO 1218",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751218",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E PHILLIP RD",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611700",
            "telephone_number": "847-680-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAD",
        "first_name": "SURESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-055365",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036055365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055365-4",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC (Mariano's Pharmacy #0502)
• A & P Optical, Inc.
• A M Arshad M D S C
• Aaa Medical Inc (Sai Laboratory)
• Kareema Ishaq Abdallah
• Taha Abdullah, DO
• Melissa Lynn Abrams, M.D.
• Samantha Acance
• Rafa Adi, M.D.

• Emergency Medicine Physician in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.