Faisal Amdani, D.O.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

036127140 Issued in IL

Practice address

5140 N California Ave
Medical Education
Chicago, IL 60625-3645

Phone

(773) 878-8200

NPI assigned

Jul 20, 2007

Last updated

Oct 11, 2013By 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 1

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

Specialty

Critical Care (Intensivists)Also: Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Mount Sinai Community Foundation

  dba Sinai Medical Group

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1376715896
  Medicare reassignment Care Compare group NPD
• Cep America Illinois Intensivists

  • Critical Care Medicine (Internal Medicine) Physician
  • Elgin, IL
  • NPI 1821641499
  Medicare reassignment NPD
• Najjar Medical LTD

  • Pulmonary Disease Physician
  • Chicago, IL
  • NPI 1386731867
  Medicare reassignment NPD
• Cep America Illinois Intensivists

  • Critical Care Medicine (Internal Medicine) Physician
  • Kankakee, IL
  • NPI 1174320873
  NPD
• Mount Sinai Community Foundation

  dba SMG at 47th Street

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1386060986
  NPD
• Mount Sinai Community Foundation

  dba Sinai Medical Group

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982657854
  NPD
• Ascension NE Wisconsin, Inc

  dba Ascension NE Wisconsin-St Elizabeth Campus

  • General Acute Care Hospital
  • Appleton, WI
  • NPI 1407803638
  NPD
• Ascension NE Wisconsin, Inc

  dba Ascension NE Wisconsin-Mercy Campus

  • General Acute Care Hospital
  • Oshkosh, WI
  • NPI 1912527193
  NPD
• Pathology Laboratory Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tulsa, OK
  • NPI 1750314076
  NPD
• Regional Medical Laboratory, Inc

  • Clinical Medical Laboratory
  • Tulsa, OK
  • NPI 1497773337
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mount Sinai Hospital Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1871581314
  Care Compare affiliation

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1689874349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE",
            "address_2": "SUITE 645",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE",
            "address_2": "MEDICAL EDUCATION",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253645",
            "telephone_number": "773-878-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMDANI",
        "first_name": "FAISAL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036127140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "125050836",
            "identifier": "125050836",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ambulatory Anesthesiologists of Chicago, LLC
• Ambulatory Surgery Centers of Chicago
• AMC Anesthesia LTD
• AMC LCPC
• Amccain LLC
• Wendewessen Amde, M.D.
• Gedion Yilma Amdetison
• Rachel Amdur, M.D.
• Ame Proietti LLC (Nutrition My Food)
• Amedisys Illinois, L.L.C. (Dyna Care Home Health of Chicago, an Amedisys Company)

• Critical Care Medicine (Internal Medicine) Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.
• 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.