Individual provider Active NPI

Nishat P Alvi, MD

  • Ophthalmology Physician
  • Barrington, IL
National Provider Identifier
1831119015
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-089679 Issued in IL
Practice address
602 Fox Glen CT
Barrington, IL 60010-1834
Phone
(847) 277-0111
Fax
(847) 277-0444
NPI assigned
Jul 20, 2006
Last updated
Aug 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036-089679 IL Primary

Addresses

Primary practice location

602 Fox Glen CT
Barrington, IL 60010-1834

Mailing address

602 Fox Glen CT
Barrington, IL 60010-1834
Phone (847) 277-0111

Other identifiers 1

IdentifierTypeStateIssuer
036089679 3MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000167 IL Practitioner - Ophthalmology 0547211047 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-089679ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Care Institute, PLLC CurrentSince Jan 1, 2011 Accepting new patients
Des Plaines Eye Physicians & Surgeons, LTD. Past Accepting new patients

Locations

602 Fox Glen Ct
Barrington, IL 60010
Phone (847) 277-0111

29327 Network Pl
Chicago, IL 60673

1710 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (847) 888-0111

1750 N Randall Rd
Ste 200
Elgin, IL 60123
Phone (847) 277-0555

1750 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (847) 888-9000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECEBA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1831119015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101834",
            "telephone_number": "847-277-0111",
            "fax_number": "847-277-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101834",
            "telephone_number": "847-277-0111",
            "fax_number": "847-277-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVI",
        "first_name": "NISHAT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-089679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089679 3",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.