Individual provider Active NPI

Fahad Tahir, DPM

  • Foot & Ankle Surgery Podiatrist
  • Aurora, IL
National Provider Identifier
1851968481
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016.006079 Issued in IL
Practice address
2003 Montgomery Rd Ste 108109
Aurora, IL 60504-9078
Phone
(630) 401-8286
NPI assigned
Jun 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016.006079 IL Primary

Addresses

Primary practice location

2003 Montgomery Rd Ste 108109
Aurora, IL 60504-9078

Mailing address

755 Knoch Knolls Rd
Naperville, IL 60565-3545
Phone (630) 745-1787

Other practice location 1

5140 N California Ave
Chicago, IL 60625-3645
Phone (773) 878-8200

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828003497 IL Practitioner - Podiatry 4789123290 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Mid America Foot and Ankle Specialist Illinois LLCGroup PAC ID 8022437755, 3 clinicians
Illinois Mobile Foot Care LLCGroup PAC ID 9537672498, 13 clinicians
Southwest Foot Ankle, LLCGroup PAC ID 4486131646, 3 clinicians

Practice addresses (Care Compare)

2003 Montgomery Rd
Suite 108
Aurora, IL 60504-9049
Phone 630923968500000

5310 N Sheridan Rd
Suite 1
Chicago, IL 60640-2515
Phone (312) 998-0974

6253 W 95TH St
Suite 1a
Oak Lawn, IL 60453-2788
Phone (630) 401-8286

Hospital & facility affiliations

  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue122
Removal of nail tissue437
Removal or shaving of skin growth95
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.006079ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid America Foot & Ankle Specialist Illinois LLC Foot & Ankle Surgery CurrentSince Sep 3, 2024 Accepting new patients
Southwest Foot Ankle, LLC Foot & Ankle Surgery CurrentSince Jan 1, 2026 Accepting new patients
Burbank Medical Group Inc CurrentSince Jan 1, 2026 Accepting new patients
Illinois Mobile Foot Care LLC CurrentSince Oct 22, 2025 Accepting new patients

Locations

2003 Montgomery Rd
Ste 108
Aurora, IL 60504
Phone (630) 923-9685

2003 Montgomery Rd
Ste 108109
Aurora, IL 60504
Phone (630) 229-6708

5310 N Sheridan Rd
Ste 1
Chicago, IL 60640
Phone (312) 998-0974

6253 W 95th St
Ste 1A
Oak Lawn, IL 60453
Phone (630) 401-8286

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.

Hospital & facility affiliations 1

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1851968481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 KNOCH KNOLLS RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653545",
            "telephone_number": "630-745-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MONTGOMERY RD STE 108109",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605049078",
            "telephone_number": "630-401-8286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5140 N California Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253645",
            "country_code": "US",
            "telephone_number": "773-878-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHIR",
        "first_name": "FAHAD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.006079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.