Individual provider Active NPI

Waqar Ahsan, DO

  • Family Medicine Physician
  • Utica, NY
National Provider Identifier
1851952279
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036157851 Issued in IL
Practice address
110 Business Park Dr
Utica, NY 13502-6307
Phone
(315) 798-8737
NPI assigned
Jun 26, 2019
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 315960 NY
Family Medicine Physician 207Q00000X 036157851 IL Primary

Addresses

Primary practice location

110 Business Park Dr
Utica, NY 13502-6307

Mailing address

110 Business Park Dr
Utica, NY 13502-6307
Phone (315) 798-8737

Other practice location 1

901 E 95th St
Chicago, IL 60619-7861
Phone (312) 878-9240

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wahsan303436@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20240910002319 IL Practitioner - Emergency Medicine 0749519395 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

901 E 95TH St
Chicago, IL 60619-7826
Phone (312) 878-9240

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Dec 13, 2024 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Jun 12, 2023 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Lake County Acute Care, LLP Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Dec 13, 2024 Accepting new patients
S & T Behavioral Health and Medical Consultants Inc. Family Medicine CurrentSince Feb 16, 2026 Accepting new patients
Lake County Acute Care, LLP Family Medicine Current Accepting new patients
Ultra Urgent and Pain Management Centers Inc CurrentSince Jun 7, 2026 Accepting new patients

Locations

150 W Half Day Rd
Buffalo Grove, IL 60089
Phone (847) 215-0000

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

901 E 95th St
Chicago, IL 60619
Phone (312) 878-9240

136 W Higgins Rd
Hoffman Estates, IL 60169
Phone (630) 776-4694

138 W Higgins Rd
Hoffman Estates, IL 60169
Phone (630) 776-4694

633 E 151st St
Phoenix, IL 60426
Phone (815) 741-4758

2 E Rollins Rd
Round Lake Beach, IL 60073
Phone (847) 546-5800

6 E Phillip Rd
Vernon Hills, IL 60061
Phone (847) 362-5353

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

3648 Dewey Ave
Rochester, NY 14616
Phone (585) 736-3503

Interoperability endpoints

  • Direct secure messaging: wahsan303436@direct.myadvocateaurora.org
  • Direct secure messaging: wahsan37773@mvhealthsystem.direct-ci.com

Organizations & group practices 11

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 2

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1851952279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026307",
            "telephone_number": "315-798-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026307",
            "telephone_number": "315-798-8737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 E 95th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606197861",
            "country_code": "US",
            "telephone_number": "312-878-9240",
            "fax_number": "312-878-9241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHSAN",
        "first_name": "WAQAR",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "315960",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036157851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wahsan303436@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "901 E 95th St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606197861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "901 E 95th St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606197861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.