Individual provider Active NPI

Chong H. Ahn, MD

  • Internal Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1871585216
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-051567 Issued in IL
Practice address
1430 N. Arlington Heights Rd #104
Arlington Heights, IL 60004
Phone
(847) 253-5985
Fax
(847) 253-0336
NPI assigned
Aug 22, 2005
Last updated
Nov 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-051567 IL Primary

Addresses

Primary practice location

1430 N. Arlington Heights Rd #104
Arlington Heights, IL 60004

Mailing address

1430 N. Arlington Heights Rd #104
Arlington Heights, IL 60004
Phone (847) 253-5985

Other identifiers 1

IdentifierTypeStateIssuer
036051567MedicaidIL

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
I20100702000436 IL Practitioner - Internal Medicine 1456482652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stat Cardiologist IncGroup PAC ID 1658648050, 27 clinicians

Practice addresses (Care Compare)

1345 Wiley Rd
Suite 111
Schaumburg, IL 60173-4356
Phone (847) 490-0060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-051567ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Cardiologist Inc CurrentSince Feb 18, 2024 Accepting new patients

Locations

3295 N Arlington Heights Rd
Ste 102
Arlington Heights, IL 60004
Phone (847) 392-7400

1345 Wiley Rd
Ste 111
Schaumburg, IL 60173
Phone (630) 451-9694

Organizations & group practices 2

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1871585216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 N. ARLINGTON HEIGHTS RD #104",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-253-5985",
            "fax_number": "847-253-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N. ARLINGTON HEIGHTS RD #104",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-253-5985",
            "fax_number": "847-253-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "CHONG",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-051567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051567",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.