Organization Active NPI

Shahriar Dadkhah, MD, SC

  • Cardiovascular Disease Physician
  • Lincolnwood, IL
National Provider Identifier
1922046978
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SHAHRIAR DADKHAH, MD, SC
Practice address
7126 N Lincoln Ave
Lincolnwood, IL 60712-2234
Phone
(847) 864-6666
Fax
(847) 864-0088
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Shahriar Dadkhah, MDNPI 1063469641
Title
Practice Owner/Physician
Phone
(847) 864-6666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

7126 N Lincoln Ave
Lincolnwood, IL 60712-2234

Mailing address

7126 N Lincoln Ave
Lincolnwood, IL 60712-2234
Phone (847) 864-6666

Other names 1

  • MidAmerica Medical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000452 IL Part B Supplier - Clinic/Group Practice 7416917034 Receives reassigned benefits from 5 practitioners
Practice locations: Lincolnwood, IL

National Provider Directory

National Provider Directory
Tax ID family
Shahriar Dadkhah MD SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 Austin St
Ste 304W
Evanston, IL 60202
Phone (847) 583-9189

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1922046978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7126 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122234",
            "telephone_number": "847-864-6666",
            "fax_number": "847-864-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7126 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122234",
            "telephone_number": "847-864-6666",
            "fax_number": "847-864-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHRIAR DADKHAH, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "DADKHAH",
        "authorized_official_first_name": "SHAHRIAR",
        "authorized_official_title_or_position": "PRACTICE OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "847-864-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidAmerica Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.

Verify at the official NPI Registry.