Organization Active NPI

Fox Valley Internist Inc.

  • Internal Medicine Physician
  • Aurora, IL
National Provider Identifier
1659606945
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036107114 Issued in IL
Legal business name
FOX VALLEY INTERNIST INC.
Practice address
581 Sullivan Rd
Aurora, IL 60506-1489
Phone
(630) 844-1818
Fax
(630) 844-1429
NPI assigned
Oct 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Dr. Syed Shah M a Warsi, MD
Title
Owner
Phone
(630) 844-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 036107114 IL Primary

Addresses

Primary practice location

581 Sullivan Rd
Aurora, IL 60506-1489

Mailing address

581 Sullivan Rd
Aurora, IL 60506-1489
Phone (630) 844-1818

National Provider Directory

National Provider Directory

Locations

581 Sullivan Rd
Aurora, IL 60506
Phone (630) 844-1818

Practitioners & affiliated clinicians

Practitioners 1

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": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1659606945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 SULLIVAN RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061489",
            "telephone_number": "630-844-1818",
            "fax_number": "630-844-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 SULLIVAN RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061489",
            "telephone_number": "630-844-1818",
            "fax_number": "630-844-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY INTERNIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "WARSI",
        "authorized_official_first_name": "SYED SHAH",
        "authorized_official_middle_name": "M A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-844-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036107114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.