Mwaz LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MWAZ LLC

Practice address

20 Westlake Dr
South Barrington, IL 60010-5341

Phone

(630) 207-8634

Fax

(630) 207-8634

NPI assigned

Aug 14, 2024

Organization subpart

No

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

Authorized official

Name

Syed Ahmed, MDNPI 1609000579

Title

Owner

Phone

(630) 207-8634

Specialties & licenses 1

Addresses

Other names 1

• Direct Access Nephrology Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syed Mustafa Ahmed, MD

  • Nephrology Physician
  • Maywood, IL
  • NPI 1609000579

  IL, Nephrology

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1740012293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WESTLAKE DR",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600105341",
            "telephone_number": "630-207-8634",
            "fax_number": "630-207-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WESTLAKE DR",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600105341",
            "telephone_number": "630-207-8634",
            "fax_number": "630-207-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MWAZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-207-8634",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Access Nephrology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in South Barrington, IL
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.