MR. IBRAHIM ALDASOQI (APN) – Nurse Practitioner, NPI 1083043277

MR. IBRAHIM ALDASOQI (APN) is a healthcare provider. based in Westmont, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209010319 (IL). The NPI Number for MR. IBRAHIM ALDASOQI (APN) is 1083043277

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. IBRAHIM ALDASOQI (APN)
NPI
1083043277
Phone
(773) 319-2317
Address
1304 RICHMOND AVE
Enumeration Date
7 November 2013
Last Update Date
7 November 2013

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
3124138687
Graduation Year
2012 (14 years ago)
PAC ID
4880818517
Group Practice PAC ID
3072422716
Professional Enrollment ID
I20140618002202
Address ID
IL606124325CH840XXMCXX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MR. IBRAHIM ALDASOQI (APN)

  • 1304 RICHMOND AVE

    WESTMONT, IL 605593373

    Phone: (773) 319-2317

    Type: Mailing

  • 606 POTTER RD

    DES PLAINES, IL 600165337

    Phone: (773) 319-2317

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Becton, Dickinson and Company ($44).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140618002202INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 60559)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072422716View full group profile
NameSpecialtyState
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
Gastroenterology, Internal MedicineWI
-IL
O P H T H A L M O L O G YNY
O T O L A R Y N G O L O G YCA
Certified Registered Nurse Anesthetist (Crna)IA
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. IBRAHIM ALDASOQI (APN)?
MR. IBRAHIM ALDASOQI (APN) — NPI 1083043277 — is the standard way to identify this listing.
Is MR. IBRAHIM ALDASOQI (APN) still practicing?
MR. IBRAHIM ALDASOQI (APN) is currently listed as active in the public NPI registry.
What is MR. IBRAHIM ALDASOQI (APN)'s specialty?
The listing groups MR. IBRAHIM ALDASOQI (APN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MR. IBRAHIM ALDASOQI (APN)?
MR. IBRAHIM ALDASOQI (APN)'s geographic hint is Westmont, Illinois in our summary view.
Why does MR. IBRAHIM ALDASOQI (APN) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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