FAIRVIEW OGDEN MEDICAL GROUP
NPI 1962683359
Internal Medicine in Downers Grove, IL

NPI Status: Active since November 14, 2007

Contact Information

4121 FAIRVIEW AVE
SUITE # 100
DOWNERS GROVE, IL
ZIP 60515
Phone: (630) 968-4790
Fax: (630) 968-8755

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Internal Medicine
Accepts Insurance
CLIA Number: 14D0982074
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 01-15-2027

About FAIRVIEW OGDEN MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Fairview Ogden Medical Group, an internist established in Downers Grove, Illinois operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1962683359 assigned on November 2007. The practitioner's primary taxonomy code is 207R00000X with license number 036-091132 (IL). The provider is registered as an organization and their NPI record was last updated 15 years ago. Fairview Ogden Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Fairview Ogden Medical Group. The authorized official of this NPI record is Dr. Zainulabuddin Syed M.d (Owner/president)

NPI: 1962683359
Provider Legal Name: FAIRVIEW OGDEN MEDICAL GROUP LTD.
Other Organization Name: FAIRVIEW OGDEN MEDICAL GROUP
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 4121 FAIRVIEW AVE SUITE # 100 DOWNERS GROVE, IL 60515
Location Phone: (630) 968-4790
Location Fax: (630) 968-8755
Mailing Address: 4121 FAIRVIEW AVE SUITE # 100 DOWNERS GROVE, IL 60515
Mailing Phone: (630) 968-4790
Mailing Fax: (630) 968-8755
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-14-2007
Last Update Date: 11-24-2010
Code Navigator

An internist like Fairview Ogden Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Internal Medicine
Taxonomy Code: 207R00000X
Type: Allopathic & Osteopathic Physicians
License No.: 036-091132
License State: IL
Taxonomy Description: 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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Home State Health

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO

Ambetter Health

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Clear Silver - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Elite Silver - HMO

Ambetter Health of Delaware

Clear Gold - EPO
Clear Gold + Vision + Adult Dental - EPO
Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO

Ambetter of Illinois

Central Bronze - HMO
Central Bronze + Vision + Adult Dental - HMO
Central Gold - HMO
Central Gold + Vision + Adult Dental - HMO
Clear Silver - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO
Focused Silver - HMO

Blue Cross and Blue Shield of Illinois

Blue Choice Preferred Bronze PPO? 201 - PPO
Blue Choice Preferred Bronze PPO? 701 - PPO
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
Blue Choice Preferred Gold PPO? 204 - PPO
Blue Choice Preferred Gold PPO? 901 - PPO
Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
Blue Choice Preferred Security PPO? 200 - PPO
Blue Choice Preferred Silver PPO? 203 - PPO
Blue Choice Preferred Silver PPO? 801 - PPO
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

Molina Healthcare

Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 with Rx Copay - HMO
Silver 1 - HMO
Silver 1 with Rx Copay and Adult Vision Services - HMO
Silver 12 with first 4 free PCP or MH visits - HMO
Silver 8 - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. ZAINULABUDDIN SYED M.D
Authorized Official Title: OWNER/PRESIDENT
Authorized Official Phone: (630) 968-4790

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
G24205	MEDICARE UPIN (02)
918810	MEDICARE PIN (08)
036091132	MEDICAID (05)	IL
1609876424	OTHER (01)		INDIVIDUAL NPI

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 14D0982074
Facility Type: Physician Office
Certificate Effective Date: January 16, 2025
Certificate Expiration Date: January 15, 2027
Laboratory Director: ZAINULABUDDIN SYED MD
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Fairview Ogden Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	9	6	2	6	8	3	3	5	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	9	12	2	12	8	6	3	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 2 + 8 + 6 + 3 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1962683359 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 15 providers are registered at the same or nearby location.

DR. ZAINULABUDDIN SYED M.D.

Internal Medicine

4121 FAIRVIEW AVE
SUITE 100
DOWNERS GROVE, IL
ZIP 60515