Individual provider Active NPI

Asma Syed Manzar, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1740517408
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.125138 Issued in IL
Practice address
1845 S Michigan Ave Apt 801
Chicago, IL 60616-2381
Phone
(773) 504-6534
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.125138 IL Primary

Addresses

Primary practice location

1845 S Michigan Ave Apt 801
Chicago, IL 60616-2381

Mailing address

1845 S Michigan Ave Apt 801
Chicago, IL 60616-2381
Phone (773) 504-6534

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
I20101015000925 IL Practitioner - Internal Medicine 7416140900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Consultants of Illinois, P.C.Group PAC ID 9537064316, 52 clinicians

Practice addresses (Care Compare)

2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 422-6200

Hospital & facility affiliations

  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.125138ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Illinois, P.C. Internal Medicine CurrentSince Dec 13, 2017 Accepting new patients
Inpatient Consultants of Illinois, P.C. Internal Medicine CurrentSince Dec 13, 2017 Accepting new patients
Inpatient Consultants of Illinois, P.C. Internal Medicine Current Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2800 W 95th St
Ste 100
Evergreen Pk, IL 60805
Phone (708) 422-6200

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1740517408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 S MICHIGAN AVE APT 801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162381",
            "telephone_number": "773-504-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 S MICHIGAN AVE APT 801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162381",
            "telephone_number": "773-504-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZAR",
        "first_name": "ASMA",
        "middle_name": "SYED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.125138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.