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SCOTT AHLSTROM
NPI 1538628938
Physician Assistant - Medical in Kenilworth, IL

Active since March 15, 2019PECOS Enrolled
534 GREEN BAY RD, KENILWORTH, IL 60043(847) 256-5505 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Scott Ahlstrom NPPES

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

SCOTT AHLSTROM (NPI 1538628938) is an individual medical provider in Kenilworth, Illinois and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538628938
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSCOTT AHLSTROM
Location Address534 GREEN BAY RDKenilworth, IL 60043-1801
Mailing Address3021 Iroquois RdWilmette, IL 60091-1106
Phone(847) 256-5505
Sole ProprietorNo
Enumeration DateMarch 15, 2019
✔ NPI 1538628938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
534 GREEN BAY RD, Kenilworth, IL 60043
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Ahlstrom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

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

DUDA DENTAL ASSOCIATES LLC
Dentist (General Practice)
534 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 251-5136
DAVID S DUDA DDS PC
Dentist (General Practice)
534 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 251-5136
DR. JACOB WHIPPLE DDS
Dentist
534 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 251-5136
EKTA DUGGAL APRN-FNP
Nurse Practitioner (Family)
534 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (000) 000-0000
KENILWORTH MEDICAL ASSOCIATES, S.C.
Allergy & Immunology
534 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 256-5505
PAUL FINLY DETJEN MD
Allergy & Immunology
534 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 256-5505
LAUREN DETJEN FNP-BC
Nurse Practitioner (Family)
534 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 256-5505
MICHAEL S DUDA DDS
Dentist
534 GREEN BAY RD
KENILWORTH, IL 60043
Cook County (847) 251-5136

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 Scott Ahlstrom's NPI number?

The NPI number for Scott Ahlstrom is 1538628938. It was assigned to this individual provider in the NPPES registry on March 15, 2019.

Where is Scott Ahlstrom located?

Scott Ahlstrom practices at 534 Green Bay Rd, Kenilworth, IL 60043. The listed phone number is (847) 256-5505.

What is Scott Ahlstrom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Scott Ahlstrom enrolled in Medicare?

Yes. Scott Ahlstrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Ahlstrom was last updated on March 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.