Active NPI
Seema Elahi, M.D., Inc.
- Internal Medicine Physician
- Lombard, IL
National Provider Identifier
1912379942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036084250
- Legal business name
- SEEMA ELAHI, M.D., INC.
- Practice address
- 450 E 22ND St Ste 100
Lombard, IL 60148-6175 - Phone
- (630) 673-5757
- Fax
- (908) 605-4974
- NPI assigned
- Oct 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Maria D Lysandrou
- Title
- Administrator
- Phone
- (773) 588-7733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036084250 | IL | Primary |
Addresses
Primary practice location
450 E 22ND St Ste 100
Lombard, IL 60148-6175
Mailing address
450 E 22ND St Ste 100
Lombard, IL 60148-6175
Phone (773) 588-7733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036084250 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7905 Lockwood Ave
Burbank, IL 60459
Phone (708) 636-4022
450 E 22nd St
Ste 100
Lombard, IL 60148
Phone (630) 673-5757
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Winfield, IL
- NPI 1336670868
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- Internal Medicine Physician
- Chicago, IL
- NPI 1952326019
-
- Physician Assistant
- Warrenville, IL
- NPI 1376167031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652659200000",
"number": "1912379942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 E 22ND ST STE 100",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486175",
"telephone_number": "773-588-7733",
"fax_number": "773-588-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E 22ND ST STE 100",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486175",
"telephone_number": "630-673-5757",
"fax_number": "908-605-4974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEEMA ELAHI, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-29",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A",
"authorized_official_last_name": "LYSANDROU",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "773-588-7733",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036084250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036084250",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.