Individual provider Active NPI

Emad Mohammed Amer, MD

  • Psychiatry Physician
  • Bloomingdale, IL
National Provider Identifier
1700992799
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036094658 Issued in IL
Practice address
121 Fairfield Way
Suite 240
Bloomingdale, IL 60108-1588
Phone
(630) 351-1770
Fax
(630) 858-1662
NPI assigned
Aug 22, 2006
Last updated
Sep 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036094658 IL Primary

Addresses

Primary practice location

121 Fairfield Way
Suite 240
Bloomingdale, IL 60108-1588

Mailing address

69 Spring Ave
Glen Ellyn, IL 60137-5823
Phone (630) 351-1770

Other identifiers 1

IdentifierTypeStateIssuer
036094MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041013000650 IL Practitioner - Psychiatry 8628038080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Jorie Blvd
Suite 119
Oak Brook, IL 60523-4463
Phone (630) 351-1770

701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone (630) 545-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Amer & Associates SC Psychiatry CurrentSince Jul 9, 2004 Accepting new patients
Deidre Alexander PSYD SC PastSince Apr 27, 2012 Accepting new patients

Locations

121 Fairfield Way
Ste 240
Bloomingdale, IL 60108
Phone (630) 309-2989

701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000

1000 Jorie Blvd
Ste 119
Oak Brook, IL 60523
Phone (630) 309-2989

Organizations & group practices 2

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1700992799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SPRING AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375823",
            "telephone_number": "630-351-1770",
            "fax_number": "630-858-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FAIRFIELD WAY",
            "address_2": "SUITE 240",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081588",
            "telephone_number": "630-351-1770",
            "fax_number": "630-858-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMER",
        "first_name": "EMAD",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036094658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.