Individual provider Active NPI

Affan Ahmad, MD

  • Anesthesiology Physician
  • Peoria, IL
National Provider Identifier
1831658822
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036169617 Issued in IL
Practice address
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone
(309) 655-2000
NPI assigned
Mar 18, 2019
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 334222 NY
Anesthesiology Physician 207L00000X 036169617 IL Primary

Addresses

Primary practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

4180 Heartleaf LN
Naperville, IL 60564-1158
Phone (913) 907-6537

Other practice location 1

10400 Haligus Rd
Huntley, IL 60142-9553
Phone (224) 654-0000

Other practice location 2

515 Main St
Olean, NY 14760-1513
Phone (716) 373-2600

Other practice location 3

818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 323-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240628000946 IL Practitioner - Anesthesiology 2264842608 Reassigns benefits to 7 organizations
I20250819004997 NY Practitioner - Anesthesiology 2264842608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Missouri, Kansas City, School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Insight Chicago IncGroup PAC ID 2860894706, 140 clinicians
Great Lakes Anesthesiology PCGroup PAC ID 7113997529, 90 clinicians
Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians

Practice addresses (Care Compare)

221 NE Glen Oak Ave
Peoria, IL 61636-0001

2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (708) 382-1498

2950 Elmwood Ave
Buffalo, NY 14217-1304
Phone (716) 323-6570

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334222NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists, SC Anesthesiology CurrentSince Aug 18, 2025 Accepting new patients
Insight Chicago, Inc. CurrentSince Oct 21, 2025 Accepting new patients
Carle Health Medical Group Anesthesiology CurrentSince Nov 21, 2024 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2025 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Sep 8, 2025 Accepting new patients
Livbetter PLLC Anesthesiology CurrentSince Jan 28, 2026 Accepting new patients
Associated Anesthesiologists, S.C. Anesthesiology CurrentSince Aug 18, 2025 Accepting new patients
Methodist Medical Center of Illinois Anesthesiology CurrentSince Dec 10, 2025 Accepting new patients
Insight Chicago, Inc. Anesthesiology CurrentSince Oct 21, 2025 Accepting new patients
Northstar Anesthesia of Illinois, LLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

255 Town Sq
Wheaton, IL 60189
Phone (703) 348-6060

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

515 Main St
Olean, NY 14760
Phone (716) 373-2600

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Interoperability endpoints

  • Direct secure messaging: aahmadmd433237@carlehiedirect.net

Organizations & group practices 12

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 3

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1831658822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 HEARTLEAF LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605641158",
            "telephone_number": "913-907-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-655-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 Haligus Rd",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429553",
            "country_code": "US",
            "telephone_number": "224-654-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Main St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147601513",
            "country_code": "US",
            "telephone_number": "716-373-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 Ellicott St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031021",
            "country_code": "US",
            "telephone_number": "716-323-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "AFFAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "334222",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036169617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.