Individual provider Active NPI

Ahmed Farag, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1679662282
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036102747 Issued in IL
Practice address
60 E Delaware PL
Suite 1410
Chicago, IL 60611-1998
Phone
(312) 867-9000
Fax
(312) 867-9127
NPI assigned
Oct 12, 2006
Last updated
Nov 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036102747 IL Primary

Addresses

Primary practice location

60 E Delaware PL
Suite 1410
Chicago, IL 60611-1998

Mailing address

60 E Delaware PL
Suite 1410
Chicago, IL 60611-1998
Phone (312) 867-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036102747ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Radiology Associates, S.C. Past Accepting new patients
Global Medical Imaging, SC Diagnostic Radiology Past Accepting new patients
FSH Radiology Inc Diagnostic Radiology Past Accepting new patients
Ahmed Farag MD PC Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Franklin & Seidelmann Inc Diagnostic Radiology Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1679662282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E DELAWARE PL",
            "address_2": "SUITE 1410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111998",
            "telephone_number": "312-867-9000",
            "fax_number": "312-867-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E DELAWARE PL",
            "address_2": "SUITE 1410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111998",
            "telephone_number": "312-867-9000",
            "fax_number": "312-867-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAG",
        "first_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036102747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.