AHMAD FAMILY PRIMARY CARE, S.C.
NPI 1861983694
Family Medicine in Lake Zurich, IL

Active since May 29, 2018CLIA 14D2150343 · Waiver
350 SURRYSE RD STE 240, LAKE ZURICH, IL 60047(847) 921-2144 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ahmad Family Primary Care, S.c. NPPES

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

AHMAD FAMILY PRIMARY CARE, S.C. (NPI 1861983694) is a healthcare organization registered as a family medicine in Lake Zurich, Illinois and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Shad Ahmad, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1861983694
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAHMAD FAMILY PRIMARY CARE, S.C.
Location Address350 SURRYSE RD STE 240Lake Zurich, IL 60047
Mailing Address350 Surryse Rd Ste 240Lake Zurich, IL 60047-3217 · (847) 320-1900
Organization SubpartNo
Authorized OfficialShad AhmadOwner/md · (847) 320-1900
Enumeration DateMay 29, 2018
Last NPPES UpdateAugust 9, 2018
✔ NPI 1861983694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-094910
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.
350 SURRYSE RD STE 240, Lake Zurich, IL 60047

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmad Family Primary Care, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ahmad Family Primary Care, S.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1417941725
350 SURRYSE RD SUITE 100
Lake Zurich, IL 60047
(847) 438-2144
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 14D2150343

Ahmad Family Primary Care, S C · Lake Zurich, IL
Active · expires Jun 21, 2028
CLIA Number14D2150343
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorShad Ahmad M D
Laboratory Phone(847) 320-1900
Laboratory LocationAhmad Family Primary Care, S C350 Surryse Rd #240, Lake Zurich, IL 60047
CLIA data matches this NPI record on: Name Phone
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 Ahmad Family Primary Care, S.C.'s NPI number?

The NPI number for Ahmad Family Primary Care, S.C. is 1861983694. It was assigned to this organization in the NPPES registry on May 29, 2018.

Where is Ahmad Family Primary Care, S.C. located?

Ahmad Family Primary Care, S.C. is located at 350 Surryse Rd Ste 240, Lake Zurich, IL 60047. The listed phone number is (847) 921-2144.

What is Ahmad Family Primary Care, S.C.'s specialty?

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

Is Ahmad Family Primary Care, S.C. enrolled in Medicare?

Yes. Ahmad Family Primary Care, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ahmad Family Primary Care, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ahmad Family Primary Care, S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ahmad Family Primary Care, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2150343) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ahmad Family Primary Care, S.C. was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.