Active NPI
Munavvar Izhar, ME
- Nephrology Physician
- Chicago, IL
National Provider Identifier
1003870239
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 19, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 036100758
- Practice address
- 7531 S Stony Island Ave
Suite 158 & 160
Chicago, IL 60649-3954 - Phone
- (773) 947-7841
- Fax
- (773) 493-1430
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036100758 | IL | |
| Nephrology Physician | 207RN0300X | 036100758 | IL | Primary |
Addresses
Primary practice location
7531 S Stony Island Ave
Suite 158 & 160
Chicago, IL 60649-3954
Mailing address
855 Madison St
Oak Park, IL 60302-4420
Phone (708) 492-4077
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00471286 | Other | IL | RAILROAD NUMBER |
| 1616108 | Other | IL | BCBS |
| 036100758 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Master of Engineering
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda Roberts & Associates Inc | Past | Accepting new patients | |
| Rush University Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Wheaton, IL
- NPI 1073832002
-
- Public Health & General Preventive Medicine Physician
- Chicago, IL
- NPI 1245263045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1003870239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 MADISON ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603024420",
"telephone_number": "708-492-4077",
"fax_number": "708-386-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7531 S STONY ISLAND AVE",
"address_2": "SUITE 158 & 160",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606493954",
"telephone_number": "773-947-7841",
"fax_number": "773-493-1430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZHAR",
"first_name": "MUNAVVAR",
"name_prefix": "Dr.",
"credential": "ME",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036100758",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036100758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD NUMBER",
"identifier": "P00471286",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1616108",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036100758",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.