Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Modjtaba Amirahmadi

Individual provider Ophthalmology Physician · NPI 1497976831

Modjtaba Amirahmadi is an Ophthalmology in Chicago, Illinois. Qualified in 1997, 29 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
29
Licensed in
IL
In the registry since
2007
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1855 W Taylor St
Chicago, IL 60612-7242
Phone: (312) 413-3593
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 036.117612 (IL)

Record details

NPI number1497976831
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESDecember 8, 2021
Mailing address1855 W Taylor St, Chicago, IL 60612-7242

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Chicago