Active NPI
Ahmed Sharif
- Hospitalist Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036149433
- Practice address
- 305 W Jackson St
Carbondale, IL 62901-1474 - Phone
- (618) 536-6621
- NPI assigned
- Jun 19, 2016
- Last updated
- Jun 15, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125068327 | IL | |
| Family Medicine Physician | 207Q00000X | 036149433 | IL | |
| Hospitalist Physician | 208M00000X | 036149433 | IL | Primary |
Addresses
Primary practice location
305 W Jackson St
Carbondale, IL 62901-1474
Mailing address
PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 549-0721
Other practice location 1
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
Other practice location 2
201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171
Other practice location 3
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214881 | Other | IL | MULTI SPECIALTY GROUP PTAN |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asharif15815@sih.direct-ci.com | ||
| Direct Messaging Address | asharif15815@sih.direct-ci.com | ||
| Direct Messaging Address | asharif15815@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 682-2370
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125068327 | IL | MD | Family Medicine Physician |
| 036149433 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehab Consultants Florida, PLLC | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| SS Medical Services Professional Corporation | Family Medicine | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Alliance Post-Acute Consultants LLC | Family Medicine | Past | Accepting new patients |
Locations
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
405 W Jackson St
Carbondale, IL 62901
405 W Jackson St
#Sih
Carbondale, IL 62901
Phone 6185490721 ext. 65137
4121 Fairview Ave
Ste L2
Downers Grove, IL 60515
Phone (630) 674-1160
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
201 S 14th St
#Sih
Herrin, IL 62948
Phone (618) 942-2171
2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156
2 S Hospital Dr
#Sih
Murphysboro, IL 62966
Phone 6186843156 ext. 65137
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
Interoperability endpoints
- asharif15815@sih.direct-ci.com
- asharif504744@direct.franciscanalliance.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1538711098
IN
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Family Medicine Physician
- Downers Grove, IL
- NPI 1831238120
-
- Physical Medicine & Rehabilitation Physician
- Altamonte SPG, FL
- NPI 1245700244
IN
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Family Medicine Physician
- Oak Lawn, IL
- NPI 1013539980
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- South Holland, IL
- NPI 1245460385
-
dba Bria of Forest Edge
- Skilled Nursing Facility
- Chicago, IL
- NPI 1215280045
Nursing home
-
dba Warren Barr South Loop
- Skilled Nursing Facility
- Chicago, IL
- NPI 1225585987
Nursing home
-
dba Franciscan Health Dyer
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
- Community Based Hospice Care Agency
- Munster, IN
- NPI 1780754689
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
dba Home Health of St Mary Medical Center
- Home Health Agency
- Hobart, IN
- NPI 1528160736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1780034926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3988",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629023988",
"telephone_number": "618-549-0721",
"fax_number": "618-529-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W JACKSON ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011474",
"telephone_number": "618-536-6621"
}
],
"practiceLocations": [
{
"address_1": "405 W Jackson St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011462",
"country_code": "US",
"telephone_number": "618-549-0721",
"fax_number": "618-529-0479",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 S 14th St",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483631",
"country_code": "US",
"telephone_number": "618-942-2171",
"fax_number": "618-988-6166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629663333",
"country_code": "US",
"telephone_number": "618-684-3156",
"fax_number": "618-684-1040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARIF",
"first_name": "AHMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-19",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125068327",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036149433",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036149433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI SPECIALTY GROUP PTAN",
"identifier": "214881",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asharif15815@sih.direct-ci.com",
"affiliation": "N",
"address_1": "405 W Jackson Street",
"address_2": "SIH Medical Group Anesthesiology",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629016290",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asharif15815@sih.direct-ci.com",
"affiliation": "N",
"address_1": "201 S 14th Street",
"address_2": "SIH Medical Group Anesthesiology",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629486294",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asharif15815@sih.direct-ci.com",
"affiliation": "N",
"address_1": "2 S Hospital Drive",
"address_2": "SIH Medical Group Anesthesiology",
"city": "Murphysboro",
"state": "IL",
"country_code": "US",
"postal_code": "629666296",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.