Active NPI
Riaz Ahmed
- Diagnostic Radiology Physician
- Skokie, IL
National Provider Identifier
1831475870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 453545303
- Practice address
- 9535 Kostner Ave
Skokie, IL 60076-1329 - Phone
- (708) 770-9951
- Fax
- (708) 218-9877
- NPI assigned
- Oct 21, 2011
- Last updated
- Oct 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 453545303 | IL | Primary |
Addresses
Primary practice location
9535 Kostner Ave
Skokie, IL 60076-1329
Mailing address
9535 N Kostner Ave
Skokie, IL 60076-1329
Phone (708) 770-9951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 453545303 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 453545303 | IL | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1831475870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9535 N KOSTNER AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761329",
"telephone_number": "708-770-9951",
"fax_number": "708-218-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9535 KOSTNER AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761329",
"telephone_number": "708-770-9951",
"fax_number": "708-218-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "RIAZ",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "453545303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "453545303",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.