Individual provider Active NPI

Ahmed Elborno, MD

  • Pain Medicine (Anesthesiology) Physician
  • Willowbrook, IL
National Provider Identifier
1750388476
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036-095342 Issued in IL
Practice address
6747 Kingery Hwy
Willowbrook, IL 60527-5142
Phone
(773) 836-7246
Fax
(773) 637-4229
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036-095342 IL Primary

Addresses

Primary practice location

6747 Kingery Hwy
Willowbrook, IL 60527-5142

Mailing address

PO Box 3336
Hinsdale, IL 60522-3336
Phone (630) 245-1010

Other identifiers 2

IdentifierTypeStateIssuer
1635238OtherILBCBS
036095342MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050602000240 IL Practitioner - Anesthesiology 9739121666 Reassigns benefits to 1 organization
I20151210000072 WI Practitioner - Pain Management 9739121666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6747 Kingery Hwy
Willowbrook, IL 60527-5142
Phone (630) 568-3862

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-095342ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Body and Motions, LLC CurrentSince Aug 6, 2019 Accepting new patients
Midwest Academy of Pain and Spine Inc Pain Medicine Current Accepting new patients
Dr Elborno Center Inc Pain Medicine CurrentSince Jul 7, 2005 Accepting new patients
Anesthesiologists, LTD. Past Accepting new patients
University Anesthesiologists SC Pain Medicine Past Accepting new patients

Locations

2333 N Harlem Ave
Chicago, IL 60707
Phone (773) 637-1700

1919 Midwest Rd
Ste 210
Oak Brook, IL 60523
Phone (630) 245-1010

7711 W 159th St
Ste 100
Tinley Park, IL 60477
Phone (708) 444-2101

6747 Kingery Hwy
Willowbrook, IL 60527
Phone (630) 455-5844

Organizations & group practices 6

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 2

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1750388476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3336",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605223336",
            "telephone_number": "630-245-1010",
            "fax_number": "630-245-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6747 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275142",
            "telephone_number": "773-836-7246",
            "fax_number": "773-637-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBORNO",
        "first_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036-095342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1635238",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095342",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

Verify at the official NPI Registry.