Sahar Ahmad, MD
Individual provider Active NPI Internal Medicine Physician · Appleton, WI
NPI 1740264696 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1740264696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 46538 (WI)
- Practice address
- 820 E Grant St
Suite S250
Appleton, WI 54911-3483 - Phone
- (920) 734-9600
- Fax
- (920) 734-4773
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Waukegan Clinic Corp
Practice addresses (Care Compare)
1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone (847) 360-3000
Hospital & facility affiliations
- Vista Medical Center East
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090622000435 | IL | Practitioner - Critical Care (Intensivists) |
6204803141 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46538 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America Illinois Intensivists | Current | Accepting new patients | |
| Cep America Illinois Intensivists | Current |
Accepting new patients | |
| Hospitalist Physicians of Illinois, P.C. | Internal Medicine | Current |
Accepting new patients |
| Cep America Illinois Intensivists | Current |
Accepting new patients | |
| Oncology Hematology Associates of Northern Illinois, LTD | Current |
Accepting new patients | |
| Waukegan Clinic Corp | Internal Medicine | Current |
Accepting new patients |
| Pulmonary Medicine Associates SC | Current |
Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Fox Valley Pulmonary Medicine, LLC | Past | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Past |
Accepting new patients | |
| Fox Valley Pulmonary Medicine, S.C. | Past | Accepting new patients | |
| Midwest Neoped Associates LTD | Past |
Accepting new patients | |
| Bonaventure Medical Foundation, LLC | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900
444 N Northwest Hwy
Ste 206
Park Ridge, IL 60068
Phone (847) 653-6184
1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000
Interoperability endpoints
- sahmad148057@direct.luhs.org
- https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 46538 | WI | Yes |
Addresses
Primary practice location
820 E Grant St
Suite S250
Appleton, WI 54911-3483
Mailing address
820 E Grant St
Suite S250
Appleton, WI 54911-3483
Phone (920) 734-9600
Other providers in Appleton, WI
- Agape of Appleton, Inc.
- Nathaniel J Agen
- Richa Aggarwal
- Lisbet Aguilar
- Rebecca J Ahlborn
- Abdulmohsin M Ahmadjee
- Ahmed Abdirashid Ahmed
- Vicki Lynn Aho
- Hillary Marie Ahola-Jacques
- Ahp 007
All providers in Appleton, WI · Internal Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.