Individual provider Active NPI

Amit Prabhakar Amin, MD

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1699911123
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036115302 Issued in IL
Practice address
1725 W Harrison St
Chicago, IL 60612-3841
Phone
(312) 942-5020
Fax
(312) 942-4039
NPI assigned
Jan 6, 2009
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2009008650 MO
Cardiovascular Disease Physician 207RC0000X 036115302 IL Primary
Interventional Cardiology Physician 207RI0011X 2009008650 MO

Addresses

Primary practice location

1725 W Harrison St
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St
Chicago, IL 60612-3841
Phone (312) 942-5020

Other practice location 1

4921 Parkview Pl
Ste 8A
Saint Louis, MO 63110-1032
Phone (314) 362-1291

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NH, IL, KS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20120725000794 MO Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3375709926 Reassigns benefits to 1 organization
I20210212001453 NH Practitioner - Interventional Cardiology 3375709926 Reassigns benefits to 2 organizations
I20231019001579 IL Practitioner - Interventional Cardiology 3375709926 Reassigns benefits to 1 organization
I20260414000683 KS Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375709926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Heart and Vascular Specialists LLCGroup PAC ID 7618122417, 81 clinicians

Practice addresses (Care Compare)

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000

2330 E Meyer Blvd
Suite 509
Kansas City, MO 64132-1143
Phone (816) 276-4800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036115302ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 3, 2021 Accepting new patients
Rush University Medical Group CurrentSince Sep 6, 2023 Accepting new patients
Dartmouth-Hitchcock Clinic Cardiovascular Disease CurrentSince Feb 3, 2021 Accepting new patients
Rush University Medical Center Cardiovascular Disease CurrentSince Sep 6, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 3, 2021 Accepting new patients
Midwest Heart & Vascular Specialists, LLC Cardiovascular Disease CurrentSince Feb 5, 2026 Accepting new patients

Locations

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 1159
Chicago, IL 60612
Phone (312) 942-5020

75 Remittance Dr
Dept 1611
Chicago, IL 60675

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

17067 S Outer Rd
Ste 200
Belton, MO 64012
Phone (816) 348-4270

2820 E Rock Haven Rd
Ste 200
Harrisonville, MO 64701
Phone (816) 333-5005

2820 E Rock Haven Rd
Ste 205
Harrisonville, MO 64701
Phone (816) 363-7710

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2000 SE Blue Pkwy
Ste 250
Lees Summit, MO 64063
Phone (816) 795-8200

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Interoperability endpoints

  • Direct secure messaging: aamin419836@direct.dartmouth-hitchcock.org
  • Direct secure messaging: amit.amin@hca2.eclinicaldirectplus.com

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.

Hospital & facility affiliations 5

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": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1699911123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-5020",
            "fax_number": "312-942-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-5020",
            "fax_number": "312-942-4039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4921 Parkview Pl",
            "address_2": "Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101032",
            "country_code": "US",
            "telephone_number": "314-362-1291",
            "fax_number": "314-362-4278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "AMIT",
        "middle_name": "PRABHAKAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-06",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2009008650",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036115302",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2009008650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.