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BROADWAY MEDICAL CENTER
NPI 1760429609
Family Medicine in Melrose Park, IL

Active since May 31, 2006CLIA 14D1073664 · Waiver
153 1/2 N BROADWAY AVE, MELROSE PARK, IL 60160(708) 345-8960(708) 345-8965 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2025, Aug 9, 2024 (2 updates tracked since 2024).

About Broadway Medical Center NPPES

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

BROADWAY MEDICAL CENTER (NPI 1760429609) is a healthcare organization registered as a family medicine in Melrose Park, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Peyman Pahlavan, President, as its authorized official.

NPPES Registry Identity

NPI1760429609
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBROADWAY MEDICAL CENTER
Location Address153 1/2 N BROADWAY AVEMelrose Park, IL 60160-3702
Mailing Address153 1/2 Broadway StMelrose Park, IL 60160-3702 · (708) 345-8960 · Fax (708) 345-8965
Phone(708) 345-8960
Fax(708) 345-8965
Organization SubpartNo
Authorized OfficialPeyman PahlavanPresident · (312) 371-9325
Enumeration DateMay 31, 2006
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1760429609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 14D1073664

Broadway Medical Center · Melrose Park, IL
Active · expires Apr 24, 2027
CLIA Number14D1073664
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorPeyman Pahlavan
Laboratory Phone(630) 430-3663
Laboratory LocationBroadway Medical Center151 N Broadway Ave, Melrose Park, IL 60160
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Broadway Medical Center's NPI number?

The NPI number for Broadway Medical Center is 1760429609. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Broadway Medical Center located?

Broadway Medical Center is located at 153 1/2 N Broadway Ave, Melrose Park, IL 60160. The listed phone number is (708) 345-8960.

What is Broadway Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Broadway Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1073664) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Broadway Medical Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Broadway Medical Center 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 Broadway Medical Center was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.