Ijaz Ahmad, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036107581 Issued in IL

Practice address

9133 S Stony Island Ave
Chicago, IL 60617-3512

Phone

(773) 375-3312

Fax

(773) 375-2334

NPI assigned

Jan 29, 2007

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL, IN2 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

Specialty

Internal Medicine

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northshore Health Centers IncGroup PAC ID 5799671236, 31 clinicians

R and W Medical LLCGroup PAC ID 6608872569, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
• Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iahmad283751@direct.myadvocateaurora.org
• Direct secure messaging: ijaz.ahmad.p1@direct.northshorehealth.nextgenshare.com

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.

• R & W Medical LLC

  dba Lagrange Medical Center

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1538179841

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Northshore Health Centers Inc

  dba NorthShore Regional Health Centers

  • Federally Qualified Health Center (FQHC)
  • Merrillville, IN
  • NPI 1114257300

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Family Care Partners Inc

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1861795486

  Single Specialty

  Medicare reassignment NPD
• Northshore Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Chicago, IN
  • NPI 1336992999
  NPD
• Northshore Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portage, IN
  • NPI 1407061336
  NPD
• Prisco I. Olaya Jr. M.D. S.C.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1033131974

  Single Specialty

  NPD (past)
• Northshore Health Centers, Inc.

  dba NorthShore Gary Health Center

  • Federally Qualified Health Center (FQHC)
  • Gary, IN
  • NPI 1932976495
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Health and Hospitals Corporation

  dba Advocate South Suburban Hospital

  • General Acute Care Hospital
  • Hazel Crest, IL
  • NPI 1467560128
  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  dba Advocate South Suburban Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1558479212
  Care Compare affiliation
• Ehs Home Health Care Service Inc

  dba Advocate Home Health Services

  • Home Health Agency
  • Oak Brook, IL
  • NPI 1598732075
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1861538712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173512",
            "telephone_number": "773-375-3312",
            "fax_number": "773-375-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9133 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173512",
            "telephone_number": "773-375-3312",
            "fax_number": "773-375-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14618 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "IL",
            "postal_code": "604261610",
            "country_code": "US",
            "telephone_number": "708-339-7000",
            "fax_number": "708-339-7026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2123 E 71st St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606492103",
            "country_code": "US",
            "telephone_number": "773-752-1506",
            "fax_number": "773-752-1507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606244225",
            "country_code": "US",
            "telephone_number": "773-533-1417",
            "fax_number": "773-533-7348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6222 S Pulaski Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606294610",
            "country_code": "US",
            "telephone_number": "773-581-8080",
            "fax_number": "773-581-3484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "IJAZ",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036107581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107581",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC PHY",
            "identifier": "036-107581",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faryal Ahmad, MD
• Fayzan Ahmad, MD
• Fyzeen Azfar Ahmad
• Heba Abdullah Ahmad, MD
• Hina Ahmad, M.D.
• Jihad Ahmad, DMD
• Khansa Ahmad, M.D
• Kiran Ahmad, RDN
• Maheen Ahmad, DPM
• Maira Ahmad

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.