Organization Active NPI

Thinfast MD Naperville

  • Obesity Medicine (Family Medicine) Physician
  • Naperville, IL
National Provider Identifier
1750647855
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
209007392 Issued in IL
Legal business name
THINFAST MD NAPERVILLE
Practice address
1560 Wall St Ste 128
Naperville, IL 60563-1300
Phone
(630) 219-2002
NPI assigned
Apr 3, 2012
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Mr. Jameel Ahamed
Title
Biller
Phone
(847) 227-0293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician 207QB0002X 209007392 IL Primary

Addresses

Primary practice location

1560 Wall St Ste 128
Naperville, IL 60563-1300

Mailing address

1560 Wall St
Ste 128
Naperville, IL 60563-1123
Phone (630) 219-2002

Other identifiers 1

IdentifierTypeStateIssuer
036-126253MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Thinfast MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1750647855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 WALL ST",
            "address_2": "STE 128",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631123",
            "telephone_number": "630-219-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 WALL ST STE 128",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631300",
            "telephone_number": "630-219-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THINFAST MD NAPERVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "AHAMED",
        "authorized_official_first_name": "JAMEEL",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "847-227-0293",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "IL",
            "license": "209007392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-126253",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.