Individual provider Active NPI

Afia Ahmed

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1720624141
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019994 Issued in IL
Practice address
2254 W Adams St Apt 3
Chicago, IL 60612-2049
Phone
(630) 803-0215
NPI assigned
Nov 20, 2019
Last updated
Nov 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.019994 IL Primary

Addresses

Primary practice location

2254 W Adams St Apt 3
Chicago, IL 60612-2049

Mailing address

2254 W Adams St Apt 3
Chicago, IL 60612-2049

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230606001605 IL Practitioner - Nurse Practitioner 3375969744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush Oak Park Physicians Group North RiversideGroup PAC ID 9931363710, 4 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

7222 W Cermak Rd
Suite 700
North Riverside, IL 60546-1443
Phone (708) 660-6400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.019994ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Oak Park Physicians Group North Riverside CurrentSince May 1, 2023 Accepting new patients
Rush University Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Guillermo J Gomez MD Inc CurrentSince Aug 1, 2020 Accepting new patients

Locations

8990 Sierra Ave
Ste Jk
Fontana, CA 92335
Phone (909) 421-4886

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

75 Remittance Dr
Chicago, IL 60675

75 Remittance Dr
Dept 1611
Chicago, IL 60675

7222 W Cermak Rd
Ste 700
Riverside, IL 60546
Phone (708) 660-6400

Organizations & group practices 3

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 3

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1720624141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 W ADAMS ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 W ADAMS ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122049",
            "telephone_number": "630-803-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "AFIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.