Active NPI
Yousaf Hasan Ahmad, D.D.S
- General Practice Dentistry
- Elgin, IL
National Provider Identifier
1972865491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019030102
- Practice address
- 2415 Bowes Rd Ste 110
Elgin, IL 60123-5535 - Phone
- (847) 386-4300
- Fax
- (847) 686-3622
- NPI assigned
- Jun 11, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2012017871 | MO | |
| General Practice Dentistry | 1223G0001X | 019030102 | IL | Primary |
Addresses
Primary practice location
2415 Bowes Rd Ste 110
Elgin, IL 60123-5535
Mailing address
2415 Bowes Rd Ste 110
Elgin, IL 60123-5535
Phone (847) 386-4300
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012017871 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Partnership of Illinois | Current | Accepting new patients | |
| Community Health Partnership of Illinois | Current | Accepting new patients | |
| Community Health Partnership of Illinois | Current | Accepting new patients | |
| Yousaf Ahmad DDS LLC | General Practice | Past | Accepting new patients |
Locations
157 S Lincoln Ave
Ste D
Aurora, IL 60505
Phone (630) 859-0015
205 W Randolph St
Ste 2222
Chicago, IL 60606
Phone (312) 795-0000
1009 Main St
Mendota, IL 61342
Phone (312) 795-0000
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Aurora, IL
- NPI 1932375169
-
- General Practice Dentistry
- Elgin, IL
- NPI 1780059063
-
- Federally Qualified Health Center (FQHC)
- Princeville, IL
- NPI 1336767540
-
- Federally Qualified Health Center (FQHC)
- Rantoul, IL
- NPI 1942619606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1972865491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 BOWES RD STE 110",
"city": "ELGIN",
"state": "IL",
"postal_code": "601235535",
"telephone_number": "847-386-4300",
"fax_number": "847-686-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 BOWES RD STE 110",
"city": "ELGIN",
"state": "IL",
"postal_code": "601235535",
"telephone_number": "847-386-4300",
"fax_number": "847-686-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "YOUSAF",
"middle_name": "HASAN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-11",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2012017871",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019030102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.