Individual provider Active NPI

Amey Jagdish Muzumdar, D.C.

  • Chiropractor
  • Westmont, IL
National Provider Identifier
1891013488
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011638 Issued in IL
Practice address
850 N Cass Ave
Suite 101
Westmont, IL 60559-1777
Phone
(630) 353-5250
Fax
(630) 353-5251
NPI assigned
May 7, 2010
Last updated
Oct 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011638 IL Primary

Addresses

Primary practice location

850 N Cass Ave
Suite 101
Westmont, IL 60559-1777

Mailing address

850 N Cass Ave
Suite 101
Westmont, IL 60559-1777
Phone (630) 353-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130501000254 IL Practitioner - Chiropractic 2365572559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3912 N Cass Ave
Westmont, IL 60559-1103
Phone (630) 353-5250

850 N Cass Ave
Suite 101
Westmont, IL 60559-1394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011638ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Norridge Chiropractic Clinic LTD Chiropractor PastSince Feb 1, 2026 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1891013488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N CASS AVE",
            "address_2": "SUITE 101",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591777",
            "telephone_number": "630-353-5250",
            "fax_number": "630-353-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N CASS AVE",
            "address_2": "SUITE 101",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591777",
            "telephone_number": "630-353-5250",
            "fax_number": "630-353-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZUMDAR",
        "first_name": "AMEY",
        "middle_name": "JAGDISH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.