NPIMap

Individual provider Active NPI

Rizwan Ahmed, D.O

  • Diagnostic Radiology Physician
  • McHenry, IL
National Provider Identifier
1821353475
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036140405 Issued in IL
Practice address
3929 Mercy Drive
McHenry, IL 60050-3151
Phone
(815) 759-0800
Fax
(815) 759-2367
NPI assigned
Jul 10, 2012
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 125062371 IL
Diagnostic Radiology Physician 2085R0202X 036140405 IL Primary

Addresses

Primary practice location

3929 Mercy Drive
McHenry, IL 60050-3151

Mailing address

PO Box 220
McHenry, IL 60051-0220
Phone (815) 759-0800

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
I20210630003768 IL Practitioner - Diagnostic Radiology 6608169461 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Midwestern University, Chicago College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians
St Bernard HospitalGroup PAC ID 1759361579, 43 clinicians
Loretto HospitalGroup PAC ID 5193725893, 38 clinicians

Practice addresses (Care Compare)

2720 W 15TH St
Chicago, IL 60608-1610
Phone (708) 524-1119

326 W 64TH St
Chicago, IL 60621-3114
Phone (773) 962-3900

645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 854-5567

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
71.53
Promoting interoperability
100
Improvement activities
40
Cost
76.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125062371ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation Current Accepting new patients
Loretto Hospital CurrentSince Jun 25, 2023 Accepting new patients
Mount Sinai Community Foundation CurrentSince Oct 1, 2022 Accepting new patients
St Bernard Hospital Anesthesiology CurrentSince Aug 20, 2023 Accepting new patients
St Bernard Hospital & Health Care Center CurrentSince Aug 20, 2023 Accepting new patients
Mount Sinai Community Foundation CurrentSince Oct 1, 2022 Accepting new patients
St Bernard Hospital OB/GYN Group Past Accepting new patients

Locations

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

2720 W 15th St
Chicago, IL 60608
Phone (312) 650-6856

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1821353475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600510220",
            "telephone_number": "815-759-0800",
            "fax_number": "815-759-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 MERCY DRIVE",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503151",
            "telephone_number": "815-759-0800",
            "fax_number": "815-759-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "RIZWAN",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125062371",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036140405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.