Active NPI
Tariq Ahmed, DC
- Chiropractor
- Roselle, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-008665
- Practice address
- 50 Irving Park Rd
Roselle, IL 60172 - Phone
- (630) 295-8851
- Fax
- (630) 295-8852
- NPI assigned
- Jan 3, 2007
- Last updated
- Jul 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-008665 | IL | Primary |
Addresses
Primary practice location
50 Irving Park Rd
Roselle, IL 60172
Mailing address
50 Irving Park Rd
Roselle, IL 60172
Phone (630) 295-8851
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038008665 | Medicaid | IL | |
| 2232174 | Other | IL | BCBS OF IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National University of Arts and Sciences, Medical Department, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 E Irving Park Rd
Roselle, IL 60172-2050
Phone (630) 295-8851
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-008665 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Physical Medicine Group SC | Chiropractor | Current | Accepting new patients |
| Roselle Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
17W697 Butterfield Rd
Oakbrook Terrace, IL 60181
Phone (630) 351-0775
17W697 Butterfield Rd
Ste B
Oakbrook Terrace, IL 60181
Phone (630) 620-8322
50 E Irving Park Rd
Roselle, IL 60172
Phone (630) 295-8851
630 N Addison Rd
Villa Park, IL 60181
Phone (630) 279-7703
Organizations & group practices 4
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.
-
- Sports Medicine (Family Medicine) Physician
- Roselle, IL
- NPI 1841357316
Chiropractor
-
- Chiropractor
- Roselle, IL
- NPI 1255720975
-
- Sports Medicine (Family Medicine) Physician
- Roselle, IL
- NPI 1851776439
-
- Chiropractor
- Oakbrook Terrace, IL
- NPI 1811128556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1750448320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 IRVING PARK RD",
"city": "ROSELLE",
"state": "IL",
"postal_code": "60172",
"telephone_number": "630-295-8851",
"fax_number": "630-295-8852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 IRVING PARK RD",
"city": "ROSELLE",
"state": "IL",
"postal_code": "60172",
"telephone_number": "630-295-8851",
"fax_number": "630-295-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "TARIQ",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-008665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038008665",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "2232174",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roselle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.