Individual provider Active NPI

Ahmad Y Abdelghani, PA-C

  • Medical Physician Assistant
  • Schaumburg, IL
National Provider Identifier
1679351092
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085.011067 Issued in IL
Practice address
1365 Wiley Rd Ste 149
Schaumburg, IL 60173-4357
Phone
(847) 490-0060
Fax
(630) 931-3330
NPI assigned
Sep 18, 2023
Last updated
Oct 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085.011067 IL Primary
Family Medicine Physician 207Q00000X 7630-23 WI

Addresses

Primary practice location

1365 Wiley Rd Ste 149
Schaumburg, IL 60173-4357

Mailing address

1345 Wiley Rd Ste 111
Schaumburg, IL 60173-4356
Phone (847) 490-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231113003265 WI Practitioner - Physician Assistant 6002263092
I20250122000272 IL Practitioner - Physician Assistant 6002263092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stat Cardiologist IncGroup PAC ID 1658648050, 27 clinicians

Practice addresses (Care Compare)

1345 Wiley Rd
Suite 111
Schaumburg, IL 60173-4356
Phone (847) 490-0060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.011067ILMDMedical Physician Assistant

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 2

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1679351092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 WILEY RD STE 111",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734356",
            "telephone_number": "847-490-0060",
            "fax_number": "630-931-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WILEY RD STE 149",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734357",
            "telephone_number": "847-490-0060",
            "fax_number": "630-931-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELGHANI",
        "first_name": "AHMAD",
        "middle_name": "Y",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.011067",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "7630-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.