Individual provider Active NPI

Amir Sheikh, ORTOTIST/PROSTHETIST

  • Community Health Worker
  • Chicago, IL
National Provider Identifier
1891959326
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
212.000070 Issued in IL
Practice address
2830 W Cermak Rd
Chicago, IL 60623
Phone
(847) 736-6686
Fax
(773) 940-1943
NPI assigned
Jul 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 212.000070 IL Primary

Addresses

Primary practice location

2830 W Cermak Rd
Chicago, IL 60623

Mailing address

2830 W Cermak Rd
Chicago, IL 60623-3512
Phone (847) 736-6686

Other identifiers 1

IdentifierTypeStateIssuer
212.000070OtherILDME/ ORTHOTIC / PROSTHETIC / PEDORTHIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
212.000070ILMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Braceman P&O Inc. Current Accepting new patients

Locations

2830 W Cermak Rd
Chicago, IL 60623
Phone (773) 523-8600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1891959326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233512",
            "telephone_number": "847-736-6686",
            "fax_number": "773-940-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60623",
            "telephone_number": "847-736-6686",
            "fax_number": "773-940-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH",
        "first_name": "AMIR",
        "name_prefix": "Mr.",
        "credential": "ORTOTIST/PROSTHETIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "IL",
            "license": "212.000070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME/ ORTHOTIC / PROSTHETIC / PEDORTHIST",
            "identifier": "212.000070",
            "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 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.