NPIMap

Individual provider Active NPI

Ashraf H Abourahma, M.D.

  • Cardiovascular Disease Physician
  • Oak Lawn, IL
National Provider Identifier
1972561975
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036086472 Issued in IL
Practice address
5702 W 95TH St
Suite B
Oak Lawn, IL 60453-2345
Phone
(708) 952-1040
Fax
(708) 952-1060
NPI assigned
May 2, 2006
Last updated
Jun 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036086472 IL Primary

Addresses

Primary practice location

5702 W 95TH St
Suite B
Oak Lawn, IL 60453-2345

Mailing address

5702 W 95TH St
Suite B
Oak Lawn, IL 60453-2345
Phone (708) 952-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040403000057 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8527051952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5702 W 95TH St
Suite B
Oak Lawn, IL 60453-2363
Phone (708) 952-1040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Pacemaker insertion or repair12
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ashraf Abourahma M D LTD CurrentSince Jul 24, 2001 Accepting new patients
Midwest Imaging & Diagnostic Center Inc CurrentSince Aug 1, 2005 Accepting new patients

Locations

5702 W 95th St
Oak Lawn, IL 60453
Phone (708) 423-9982

5702 W 95th St
Ste B
Oak Lawn, IL 60453
Phone (708) 952-1040

Interoperability endpoints

  • Direct secure messaging: aabourahma278976@direct.myadvocateaurora.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEACA/Endpoint/IEEACA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1972561975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 W 95TH ST",
            "address_2": "SUITE B",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532345",
            "telephone_number": "708-952-1040",
            "fax_number": "708-952-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 W 95TH ST",
            "address_2": "SUITE B",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532345",
            "telephone_number": "708-952-1040",
            "fax_number": "708-952-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOURAHMA",
        "first_name": "ASHRAF",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036086472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.