Diversified Medical Services LLC
NPI 1780962506 · Anesthesiology Physician · Fairview Heights, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Diversified Medical Services LLC is a Anesthesiology Physician organization in Fairview Heights, IL (NPI 1780962506).
Provider details
- NPI number
- 1780962506
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shakeel Ahmed, President(618) 239-0678
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-27
- Last updated
- 2011-09-12
Frequently asked questions
- What is Diversified Medical Services LLC's NPI number?
- Diversified Medical Services LLC's National Provider Identifier (NPI) is 1780962506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diversified Medical Services LLC?
- Diversified Medical Services LLC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Diversified Medical Services LLC located?
- Diversified Medical Services LLC's practice location on file with NPPES is 5023 N Illinois St, Fairview Heights, IL 62208-3453.
- What is Diversified Medical Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Diversified Medical Services LLC is (618) 239-0678.
- Does Diversified Medical Services LLC accept Medicare?
- Diversified Medical Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Diversified Medical Services LLC?
- The authorized official listed on Diversified Medical Services LLC's NPPES record is Shakeel Ahmed, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diversified Medical Services LLC's NPI active?
- Yes — Diversified Medical Services LLC's NPI (1780962506) is active in the NPPES registry as of the last update on 2011-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.