T Ahmad MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036072630 Issued in IL

Legal business name

T AHMAD MD SC

Practice address

21807 W Grant Hwy
Marengo, IL 60152-2944

Phone

(815) 568-1074

Fax

(815) 568-0134

NPI assigned

May 18, 2011

Last updated

Dec 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tanveer Ahmad, M.D.NPI 1093811374

Title

Owner

Phone

(815) 703-9124

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Tanveer Ahmad, MD

  • Internal Medicine Physician
  • Marengo, IL
  • NPI 1093811374
  Medicare reassignment NPD Authorized official
• Syed Waseem Haider, M.D.

  • Internal Medicine Physician
  • Crystal Lake, IL
  • NPI 1912017898
  NPD (past)

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1790078111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1527",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600981527",
            "telephone_number": "847-338-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21807 W GRANT HWY",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601522944",
            "telephone_number": "815-568-1074",
            "fax_number": "815-568-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T AHMAD MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "TANVEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-703-9124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036072630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Schultz
• Elizabeth E Siegfort, M.S., CCC/SLP/L
• Manfred Strohschein
• Swedishamerican Hospital
• Swedishamerican Hospital
• Michael William Thomas, O.D.
• Total Renal Care Inc (Marengo City Dialysis)
• Dianne N Traeger
• Dawn Patricia Turner
• Indu Yogesh Vaidya, MD

• Internal Medicine Physician in Marengo, IL
• Providers in Marengo, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.

Verify at the official NPI Registry.