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SWAN PRIMARY CARE PLLC
NPI 1376137083
Internal Medicine in Bloomingdale, IL

Active since February 23, 2021CLIA 14D2286334 · Waiver
303 E ARMY TRAIL RD STE 111, BLOOMINGDALE, IL 60108(630) 931-2929(833) 731-0578 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, Feb 1, 2022, Feb 23, 2021 (3 updates tracked since 2021).

About Swan Primary Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SWAN PRIMARY CARE PLLC (NPI 1376137083) is a healthcare organization registered as an internal medicine in Bloomingdale, Illinois and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Sunnan Moinuddin, Owner, as its authorized official.

NPPES Registry Identity

NPI1376137083
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSWAN PRIMARY CARE PLLC
Location Address303 E ARMY TRAIL RD STE 111Bloomingdale, IL 60108-2140
Mailing Address303 E Army Trail Rd Ste 111Bloomingdale, IL 60108-2140 · (630) 931-2929 · Fax (833) 731-0578
Phone(630) 931-2929
Fax(833) 731-0578
Organization SubpartNo
Authorized OfficialSunnan MoinuddinOwner · (630) 456-0307
Enumeration DateFebruary 23, 2021
Last NPPES UpdateJanuary 23, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1376137083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
303 E ARMY TRAIL RD STE 111, Bloomingdale, IL 60108
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2286334

Swan Primary Care, PLLC · Bloomingdale, IL
Active · expires Jul 26, 2027
CLIA Number14D2286334
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorWahaj Ahmed
Laboratory Phone(630) 931-2929
Laboratory LocationSwan Primary Care, PLLC303 E Army Trail Rd - Ste 111, Bloomingdale, IL 60108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMPOWER PSYCHIATRY PLLC
Psychiatry & Neurology (Psychiatry)
303 E ARMY TRAIL RD STE 111
BLOOMINGDALE, IL 60108
Dupage County (630) 284-3832
SAKEENAH G LATIFI PA-C
Physician Assistant
303 E ARMY TRAIL RD STE 111
BLOOMINGDALE, IL 60108
Dupage County (630) 931-2929
TANVIR MUSHTAQ M.D.
Psychiatry & Neurology (Psychiatry)
303 E ARMY TRAIL RD STE 111
BLOOMINGDALE, IL 60108
Dupage County (630) 284-3832
WAHAJ AHMED M.D.
Internal Medicine
303 E ARMY TRAIL RD STE 111
BLOOMINGDALE, IL 60108
Dupage County (630) 931-2929

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Swan Primary Care PLLC's NPI number?

The NPI number for Swan Primary Care PLLC is 1376137083. It was assigned to this organization in the NPPES registry on February 23, 2021.

Where is Swan Primary Care PLLC located?

Swan Primary Care PLLC is located at 303 E Army Trail Rd Ste 111, Bloomingdale, IL 60108. The listed phone number is (630) 931-2929.

What is Swan Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Swan Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2286334) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Swan Primary Care PLLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Swan Primary Care PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Swan Primary Care PLLC was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.