Syed A Ahmed, DPM
Individual provider Active NPI Podiatrist · Orland Hills, IL
NPI 1902249105 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1902249105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 016005749 (IL)
- Practice address
- 9233 159TH St
Orland Hills, IL 60487-5977 - Phone
- (630) 790-1892
- NPI assigned
- Apr 8, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dupage Medical Group LTD
Practice addresses (Care Compare)
3743 Highland Ave
Suite 1002
Downers Grove, IL 60515-1594
Phone (630) 435-6107
4061 W 95TH St
Oak Lawn, IL 60453-2611
Phone (630) 469-9200
Hospital & facility affiliations
- Silver Cross Hospital and Medical Centers
- Advocate Christ Hospital & Medical Center
- Edward Hospital
- Osf Saint Elizabeth MDL Ctr
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 48 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 157 |
| Removal or shaving of skin growth | 16 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170619001447 | IL | Practitioner - Podiatry | 6406124320 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current |
Accepting new patients | |
| Dupage Medical Group LTD | Current |
Accepting new patients | |
| DMG Surgical Center LLC | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
2320 High St
Blue Island, IL 60406
Phone (708) 226-7000
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
3743 Highland Ave
Ste 1002
Downers Grove, IL 60515
Phone (630) 435-6107
2725 Technology Dr
Lombard, IL 60148
Phone (630) 348-3300
4061 W 95th St
Oak Lawn, IL 60453
Phone (630) 432-6200
9233 159th St
Orland Hills, IL 60487
Phone (630) 824-1614
Interoperability endpoints
- sahmed136393@dulyhealthandcare.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016005749 | IL | Yes |
Addresses
Primary practice location
9233 159TH St
Orland Hills, IL 60487-5977
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
4061 W 95th St
Oak Lawn, IL 60453-2611
Phone (708) 224-0601
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sahmed136393@dulyhealthandcare.direct-ci.com |
NPI Registry JSON
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1902249105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9233 159TH ST",
"city": "ORLAND HILLS",
"state": "IL",
"postal_code": "604875977",
"telephone_number": "630-790-1892"
}
],
"practiceLocations": [
{
"address_1": "4061 W 95th St",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532611",
"country_code": "US",
"telephone_number": "708-224-0601",
"fax_number": "708-226-7161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMED",
"first_name": "SYED",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-08",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016005749",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sahmed136393@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "4061 W 95th St",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532611",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Orland Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.