NPIMap

Individual provider Active NPI

Ahmad Bastani, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1972564524
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036082214 Issued in IL
Practice address
6033 N Sheridan Rd
Suite S 8
Chicago, IL 60660
Phone
(773) 506-9600
Fax
(773) 506-9655
NPI assigned
Mar 31, 2006
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036082214 IL Primary

Addresses

Primary practice location

6033 N Sheridan Rd
Suite S 8
Chicago, IL 60660

Mailing address

6033 N Sheridan Rd
Suite S 8
Chicago, IL 60660
Phone (773) 506-9600

Other identifiers 3

IdentifierTypeStateIssuer
4476749OtherILAETNA
1606175OtherILBLUE CROSS BLUE SHIELD
036082214MedicaidIL

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
I20040207000159 IL Practitioner - Family PracticePractitioner - Internal Medicine 0840183257 Reassigns benefits to 2 organizations
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Rush Medical College of Rush University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (773) 665-3000

5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000

711 W N Ave
Chicago, IL 60610-1042

836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 975-1600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Apr 20, 2025 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Jun 28, 2022 Accepting new patients
Community First Healthcare of Illinois, Inc. Current Accepting new patients
Presence Healthcare Services Family Medicine CurrentSince Apr 20, 2025 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Jun 28, 2022 Accepting new patients
Ahmad Bastani MD Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

62311 Collection Ctr Dr
Chicago, IL 60693

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

Organizations & group practices 6

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 5

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1972564524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 N SHERIDAN RD",
            "address_2": "SUITE S 8",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60660",
            "telephone_number": "773-506-9600",
            "fax_number": "773-506-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 N SHERIDAN RD",
            "address_2": "SUITE S 8",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60660",
            "telephone_number": "773-506-9600",
            "fax_number": "773-506-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTANI",
        "first_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036082214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4476749",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1606175",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082214",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.