Organization Active NPI

Agha Medical Inc

  • Pulmonary Disease Physician
  • Morris, IL
National Provider Identifier
1659750511
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036137539 Issued in IL
Legal business name
AGHA MEDICAL INC
Practice address
1367 N Division St
Morris, IL 60450-1444
Phone
(815) 941-2007
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Mr. Ahmad Agha, M.DNPI 1376592717
Title
President
Phone
(312) 282-3922

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
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 036137539 IL Primary

Addresses

Primary practice location

1367 N Division St
Morris, IL 60450-1444

Mailing address

1603 Woodland LN
Bolingbrook, IL 60490-3274
Phone (815) 680-6806

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2030078Agha Medical Inc1367 N Division St, Morris, IL 60450Certificate of waiverSep 20, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Agha Medical Inc1367 N Division St, Morris, IL 60450-1444(815) 941-2007 Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Ventilators Accessories and/or Supplies Accepts assignmentParticipating since Dec 1, 2007

National Provider Directory

National Provider Directory
Tax ID family
Agha Medical Inc2 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.

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": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1659750511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 WOODLAND LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903274",
            "telephone_number": "815-680-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 N DIVISION ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501444",
            "telephone_number": "815-941-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGHA MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-282-3922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036137539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.