Tabasum Amir, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

036114879 Issued in IL

Practice address

205 W Touhy Ave Ste 104
Park Ridge, IL 60068-4218

Phone

(847) 384-3551

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Amer I Alhussaini MD SC

  • Urgent Care Clinic/Center
  • Westmont, IL
  • NPI 1124402466

  IL

  Medicare reassignment NPD
• Excellent Medical Associates, P.C.

  • General Practice Physician
  • Orland Park, IL
  • NPI 1215223623

  IL

  Medicare reassignment NPD
• Vna Health Care

  • General Practice Physician
  • Aurora, IL
  • NPI 1508826983

  IL

  Medicare reassignment NPD
• Alqaim Medical Associates Inc

  • General Practice Physician
  • Orland Park, IL
  • NPI 1932961240
  NPD
• Illinois Back and Joint PLLC

  • Sports Medicine (Family Medicine) Physician
  • Orland Park, IL
  • NPI 1750985214
  NPD
• Vna Health Care

  • Federally Qualified Health Center (FQHC)
  • Aurora, IL
  • NPI 1700910981
  NPD
• Advocate Occupational Health

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Park Ridge, IL
  • NPI 1720169097
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1891883641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 HARRISON ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161542",
            "telephone_number": "847-298-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W TOUHY AVE STE 104",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684218",
            "telephone_number": "847-384-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIR",
        "first_name": "TABASUM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": "036114879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Amedeo
• Lauren Amendola, DO
• American Drug Stores LLC
• Aisha Amin, MD
• Ravi Prafull Amin, DO
• Amivo Med LLC
• Aarti Amlani, M.D.
• Amscrest Med LLC
• Amsora Med LLC
• Amsprovia Med LLC

• All providers in Park Ridge, IL
• Occupational Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.