AHMAD MARDINI
NPI 1902547201
Internal Medicine in Oak Lawn, IL

Active since April 02, 2022PECOS EnrolledAccepts Medicare Assignment
4220 W 95TH ST STE 200, OAK LAWN, IL 60453(708) 398-0287 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2022, Apr 5, 2022 (2 updates tracked since 2022).

About Ahmad Mardini NPPES

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

AHMAD MARDINI (NPI 1902547201) is an individual internal medicine provider in Oak Lawn, Illinois, licensed in Illinois (125.079644) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Grand Strand Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902547201
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAHMAD MARDINI
Location Address4220 W 95TH ST STE 200Oak Lawn, IL 60453-3072
Mailing Address4220 W 95th St Ste 200Oak Lawn, IL 60453-3072
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 2, 2022
Last NPPES UpdateJuly 11, 20222 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
NPI 1902547201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 125.079644
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.
4220 W 95TH ST STE 200, Oak Lawn, IL 60453

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ahmad Mardini is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901306844
PECOS Enrollment IDI20250825001607
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420085
Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
4220 W 95TH ST STE 200
OAK LAWN, IL 60453
Internal Medicine
4220 W 95TH ST STE 200
OAK LAWN, IL 60453
Internal Medicine
4220 W 95TH ST STE 200
OAK LAWN, IL 60453
Internal Medicine
4220 W 95TH ST STE 200
OAK LAWN, IL 60453
Internal Medicine
4220 W 95TH ST STE 200
OAK LAWN, IL 60453
Student in an Organized Health Care Education/Training Program
4220 W 95TH ST STE 200
OAK LAWN, IL 60453
Internal Medicine
4220 W 95TH ST STE 200
OAK LAWN, IL 60453
Pediatrics
4220 W 95TH ST STE 200
OAK LAWN, IL 60453

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 Mardini's NPI number?

The NPI number for Ahmad Mardini is 1902547201. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Where is Ahmad Mardini located?

Ahmad Mardini practices at 4220 W 95th St Ste 200, Oak Lawn, IL 60453. The listed phone number is (708) 398-0287.

What is Ahmad Mardini's specialty?

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

Is Ahmad Mardini enrolled in Medicare?

Yes. Ahmad Mardini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ahmad Mardini affiliated with any hospitals?

According to CMS data, Ahmad Mardini is affiliated with Grand Strand Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ahmad Mardini was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.