Active NPI
Bashirahmed M Ameji, M.D.
- Family Medicine Physician
- Danville, IL
National Provider Identifier
1750566162
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Oct 6, 1988.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Practice address
- 3820 East Main Street
Danville Correctional Center Medical Department
Danville, IL 61834-5796 - Phone
- (217) 446-0441
- NPI assigned
- Jan 3, 2008
- Last updated
- Jan 3, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
3820 East Main Street
Danville Correctional Center Medical Department
Danville, IL 61834-5796
Mailing address
3820 East Main Street
Danville Correctional Center Medical Department
Danville, IL 61834-5796
Phone (217) 446-0441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-063288 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1750566162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 EAST MAIN STREET",
"address_2": "DANVILLE CORRECTIONAL CENTER MEDICAL DEPARTMENT",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618345796",
"telephone_number": "217-446-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 EAST MAIN STREET",
"address_2": "DANVILLE CORRECTIONAL CENTER MEDICAL DEPARTMENT",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618345796",
"telephone_number": "217-446-0441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMEJI",
"first_name": "BASHIRAHMED",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-03",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.