NPIMap

Individual provider Active NPI

Wahaj Ahmed, M.D.

  • Internal Medicine Physician
  • Bloomingdale, IL
National Provider Identifier
1750834628
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036147194 Issued in IL
Practice address
303 E Army Trail Rd Ste 111
Bloomingdale, IL 60108-2140
Phone
(630) 931-2929
Fax
(833) 731-0578
NPI assigned
Jul 27, 2016
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 036147194 IL Primary

Addresses

Primary practice location

303 E Army Trail Rd Ste 111
Bloomingdale, IL 60108-2140

Mailing address

303 E Army Trail Rd Ste 111
Bloomingdale, IL 60108-2140
Phone (630) 931-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190404000324 IL Practitioner - Internal MedicinePractitioner - Hospitalist 7517211048 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swan Primary Care PLLCGroup PAC ID 1951717016, 9 clinicians

Practice addresses (Care Compare)

303 E Army Trail Rd
Suite 111
Bloomingdale, IL 60108-2140
Phone (630) 931-2929

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Jan 7, 2020 Accepting new patients
Amer I Alhussaini MD SC CurrentSince Mar 1, 2019 Accepting new patients
Advance Inpatient Medicine LLC Hospitalist CurrentSince Jul 1, 2019 Accepting new patients
Swan Primary Care PLLC Internal Medicine CurrentSince Feb 24, 2021 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Suburban Pulmonary & Sleep Associates LTD CurrentSince Jun 24, 2019 Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

303 E Army Trail Rd
Ste 111
Bloomingdale, IL 60108
Phone (630) 299-4342

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000

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

2300 N Rockton Ave
Rockford, IL 61103

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

1131 W Jefferson St
Shorewood, IL 60404

29 N Cass Ave
Ste A
Westmont, IL 60559
Phone (630) 324-6825

700 E Ogden Ave
Ste 202
Westmont, IL 60559
Phone (630) 528-3215

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23850/brand/1/csg/1/fhir/r4
  • Direct secure messaging: wahaj.ahmed.1@23850.direct.athenahealth.com
  • Direct secure messaging: wahmed146609@direct.luhs.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Pearl of Elk GroveElk Grove Village, IL, CCN 145689 Skilled nursing facility Contracted Managing Employee Feb 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1750834628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 111",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082140",
            "telephone_number": "630-931-2929",
            "fax_number": "833-731-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 111",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082140",
            "telephone_number": "630-931-2929",
            "fax_number": "833-731-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "WAHAJ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036147194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.