Active NPI
Aziz Uddin Ahmed, M.D.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1962532044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Practice address
- 1657 W Adams St
Chicago, IL 60612-3201 - Phone
- (312) 829-1134
- Fax
- (312) 829-4602
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Primary |
Addresses
Primary practice location
1657 W Adams St
Chicago, IL 60612-3201
Mailing address
1657 W Adams St
Chicago, IL 60612-3201
Phone (630) 261-1393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090316000704 | IL | Practitioner - Internal Medicine | 5799842878 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MBS Imaging LLC
Practice addresses (Care Compare)
1919 S Highland Ave
Suite 100C
Lombard, IL 60148-6134
Phone (877) 495-7152
Merit-based Incentive Payment System (MIPS)
- Final score
- 18.92 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 63.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-055366 | IL | MD | Internal Medicine Physician |
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": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962532044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1657 W ADAMS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123201",
"telephone_number": "630-261-1393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1657 W ADAMS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123201",
"telephone_number": "312-829-1134",
"fax_number": "312-829-4602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "AZIZ",
"middle_name": "UDDIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.