NPIMap

Organization Active NPI

Alqaim Medical Associates Inc

  • General Practice Physician
  • Orland Park, IL
National Provider Identifier
1932961240
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ALQAIM MEDICAL ASSOCIATES INC
Practice address
14489 John Humphrey Dr Ste 1-NA
Orland Park, IL 60462-2671
Phone
(708) 364-1205
Fax
(708) 364-1265
NPI assigned
Jan 24, 2024
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Ahsin Shamsi
Title
Owner of Entity
Phone
(708) 364-1205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

14489 John Humphrey Dr Ste 1-NA
Orland Park, IL 60462-2671

Mailing address

14489 John Humphrey Dr Ste 1-NA
Orland Park, IL 60462-2671
Phone (708) 364-1205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240412000713 IL Part B Supplier - Clinic/Group Practice 4789023565 Receives reassigned benefits from 4 practitioners
Practice locations: Orland Park, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1932961240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14489 JOHN HUMPHREY DR STE 1-NA",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622671",
            "telephone_number": "708-364-1205",
            "fax_number": "708-364-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14489 JOHN HUMPHREY DR STE 1-NA",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622671",
            "telephone_number": "708-364-1205",
            "fax_number": "708-364-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALQAIM MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "SHAMSI",
        "authorized_official_first_name": "AHSIN",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "708-364-1205"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.