BRANDON DAVID AHLGREN (MD) – Rheumatology Physician, NPI 1700415874

BRANDON DAVID AHLGREN (MD) is a healthcare provider. based in Maywood, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4351051545 (MI). The NPI Number for BRANDON DAVID AHLGREN (MD) is 1700415874

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON DAVID AHLGREN (MD)
NPI
1700415874
Phone
Not provided
Address
2160 S 1ST AVE
Enumeration Date
2 April 2020
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2319358330
Graduation Year
2020 (6 years ago)
PAC ID
2466862115
Group Practice PAC ID
3072426287
Professional Enrollment ID
I20250414000360
Address ID
MI496847942TR3537XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for BRANDON DAVID AHLGREN (MD)

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone:

    Type: Mailing

  • 4201 SAINT ANTOINE ST # 4H

    DETROIT, MI 482012153

    Phone:

    Type: Mailing

  • 3537 W Front St Ste A

    Traverse City, MI 496847942

    Phone: (231) 935-2525

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $359.

Total Amount is formed as General ($359) + Research ($0) + Ownership ($0) = $359.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Janssen Biotech, Inc. ($175).

Total Amount

$359

General + Research + Ownership

Payments

7

Total payment records

General Amount

$359

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2025-04-14

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
I20250414000360IInternal MedicineMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60153)

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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: 3072426287View full group profile

Reviews

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Frequently asked questions

How do payers reference BRANDON DAVID AHLGREN (MD)?
For BRANDON DAVID AHLGREN (MD), use NPI 1700415874 as the unique 10-digit identifier.
Active or inactive — what applies to BRANDON DAVID AHLGREN (MD)?
You should see BRANDON DAVID AHLGREN (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for BRANDON DAVID AHLGREN (MD)?
At a glance, BRANDON DAVID AHLGREN (MD) is tied to Rheumatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with BRANDON DAVID AHLGREN (MD)?
Directory geography for BRANDON DAVID AHLGREN (MD) centers on Maywood, Illinois.
Does BRANDON DAVID AHLGREN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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