Active NPI
Ammar Adnan Bayrakdar, MD
- Endocrinology, Diabetes & Metabolism Physician
- Evergreen Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 036086922
- Practice address
- 2955 W 95TH St
Evergreen Park, IL 60805-2409 - Phone
- (708) 422-0022
- Fax
- (708) 422-2266
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036086922 | IL | Primary |
Addresses
Primary practice location
2955 W 95TH St
Evergreen Park, IL 60805-2409
Mailing address
2955 W 95TH St
Evergreen Park, IL 60805-2409
Phone (708) 422-0022
Other practice location 1
15300 West Ave Ste 122
Orland Park, IL 60462-4508
Phone (708) 403-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036086922 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2955 W 95TH St
Evergreen Park, IL 60805-2409
Phone (708) 422-0022
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-4000
Hospital & facility affiliations
- Advocate Christ Hospital & Medical Center
- Palos Community Hospital
- Osf Little Company of Mary Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036086922 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diabetes & Endocrine Care LTD | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Central Dupage Physician Group | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Hama Medical Group LTD | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
2955 W 95th St
Evergreen Pk, IL 60805
Phone (708) 422-0022
15300 West Ave
Ste 122
Orland Park, IL 60462
Phone (708) 226-2400
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Evergreen Park, IL
- NPI 1689627168
-
- Internal Medicine Physician
- Evergreen Park, IL
- NPI 1730541384
Endocrinology, Diabetes & Metabolism
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Endocrinology, Diabetes & Metabolism
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1841243334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052409",
"telephone_number": "708-422-0022",
"fax_number": "708-422-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052409",
"telephone_number": "708-422-0022",
"fax_number": "708-422-2266"
}
],
"practiceLocations": [
{
"address_1": "15300 West Ave Ste 122",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604624508",
"country_code": "US",
"telephone_number": "708-403-8400",
"fax_number": "708-403-8492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAYRAKDAR",
"first_name": "AMMAR",
"middle_name": "ADNAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036086922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036086922",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.