NPIMap

Individual provider Active NPI

Zafar Ahmed, MD

  • Internal Medicine Physician
  • Crestwood, IL
National Provider Identifier
1700872272
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-089465 Issued in IL
Practice address
13755 Cicero Ave
Crestwood, IL 60445-1824
Phone
(708) 385-2400
Fax
(708) 385-7840
NPI assigned
Sep 21, 2005
Last updated
May 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-089465 IL Primary

Addresses

Primary practice location

13755 Cicero Ave
Crestwood, IL 60445-1824

Mailing address

901 McClintock Dr
Suite 202
Burr Ridge, IL 60527-0872
Phone (888) 220-6432

Other identifiers 1

IdentifierTypeStateIssuer
036-089-465MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100130000023 IL Practitioner - Internal Medicine 3577606524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asad Zaman MD SCGroup PAC ID 5092744847, 9 clinicians

Practice addresses (Care Compare)

12800 S Ridgeland Ave
Suite E
Palos Heights, IL 60463-2391
Phone (708) 429-3700

4440 W 95TH St
Oak Lawn, IL 60453-2699
Phone (708) 684-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-089465ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miinedoctor, Inc. Internal Medicine CurrentSince Apr 24, 2019 Accepting new patients
Asad Zaman MD SC Internal Medicine CurrentSince Apr 15, 2019 Accepting new patients
Comprehensive Physical Medicine, SC PastSince Jun 23, 2012 Accepting new patients
Miinehealth, Inc. Internal Medicine PastSince Jan 25, 2023 Accepting new patients

Locations

13755 Cicero Ave
Crestwood, IL 60418
Phone (708) 385-2400

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

12800 S Ridgeland Ave
Ste E
Palos Heights, IL 60463
Phone (708) 388-4911

Organizations & group practices 5

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 9

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1700872272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR",
            "address_2": "SUITE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "888-220-6432",
            "fax_number": "630-654-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13755 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451824",
            "telephone_number": "708-385-2400",
            "fax_number": "708-385-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ZAFAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-089465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-089-465",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, IL

Sources for this page

Verify at the official NPI Registry.