Individual provider Active NPI

Syed Naveed, M.D.,

  • Clinical Neurophysiology Physician
  • Oakbrook Terrece, IL
National Provider Identifier
1720098858
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
036-100801 Issued in IL
Practice address
17 W 434 Rosevelt Rd
Oakbrook Terrece, IL 60181
Phone
(630) 279-6033
NPI assigned
Aug 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 036-100801 IL Primary

Addresses

Primary practice location

17 W 434 Rosevelt Rd
Oakbrook Terrece, IL 60181

Mailing address

816 E Wilson Ave
Lombard, IL 60148-4047
Phone (630) 495-3902

Other identifiers 1

IdentifierTypeStateIssuer
036-100801MedicaidIL

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
I20120202000876 IL Practitioner - NeurologyPractitioner - Psychiatry 5597764860 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-100801ILMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oswego Family Physicians LTD CurrentSince Apr 30, 2018 Accepting new patients
Fox Valley Care Clinic LTD CurrentSince Apr 30, 2018 Accepting new patients
Immediate Care Plus LTD. CurrentSince Apr 13, 2011 Accepting new patients
U.S. Diagnositics Past Accepting new patients
Genesis Diagnostic Services Inc PastSince Oct 1, 2019 Accepting new patients
Free Covid Care PastSince Dec 1, 2021 Accepting new patients
Moore Health SC Past Accepting new patients
Neurological Consultants Group LTD Clinical Neurophysiology Past Accepting new patients

Locations

888 E Main St
East Dundee, IL 60118
Phone (847) 241-1134

2685 US Highway 34
Oswego, IL 60543
Phone (630) 551-0000

Organizations & group practices 9

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720098858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 E WILSON AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484047",
            "telephone_number": "630-495-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W 434 ROSEVELT RD",
            "city": "OAKBROOK TERRECE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-279-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVEED",
        "first_name": "SYED",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "IL",
            "license": "036-100801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-100801",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.