Active NPI
Amir Hossein Vafa, MD
- Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036116160
- Practice address
- 1500 S Fairfield Ave
Chicago, IL 60608-1782 - Phone
- (773) 257-6464
- NPI assigned
- Apr 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 036116160 | IL | |
| Surgery Physician | 208600000X | 036116160 | IL | Primary |
Addresses
Primary practice location
1500 S Fairfield Ave
Chicago, IL 60608-1782
Mailing address
1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone (773) 257-4752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036116160 | Other | IL | PHYSICIAN AND SURGEON LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 S California Ave
Chicago, IL 60608-1858
Phone (773) 522-6656
2653 W Ogden Ave
FL 3 Suite a
Chicago, IL 60608-1647
Phone (773) 257-6672
5668 E State St
Rockford, IL 61108-2464
Phone (815) 397-7900
California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients |
Locations
2653 W Ogden Ave
Chicago, IL 60608
Phone (773) 257-6672
1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
5668 E State St
Rockford, IL 61108
Phone (815) 229-7580
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
Organizations & group practices 7
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.
-
dba Sinai Medical Group
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba Ascension NE Wisconsin-St Elizabeth Campus
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
dba Southwest Hematology/Oncology Consultants
- Hematology & Oncology Physician
- Chicago, IL
- NPI 1629494224
-
dba Sinai Medical Group
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
-
dba Ascension NE Wisconsin-Mercy Campus
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1912527193
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1871581314
-
dba OSF Saint Anthony Medical Center
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1881818326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S FAIRFIELD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081782",
"telephone_number": "773-257-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S FAIRFIELD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081782",
"telephone_number": "773-257-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAFA",
"first_name": "AMIR",
"middle_name": "HOSSEIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IL",
"license": "036116160",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036116160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN AND SURGEON LIC",
"identifier": "036116160",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.