NPIMap

Individual provider Active NPI

Mohamed I Jabri, MD

  • Emergency Medicine Physician
  • Naperville, IL
National Provider Identifier
1013026004
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-090331 Issued in IL
Practice address
1149 Dickens Ave
Naperville, IL 60563-4303
Phone
(630) 548-1407
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-090331 IL Primary

Addresses

Primary practice location

1149 Dickens Ave
Naperville, IL 60563-4303

Mailing address

1149 Dickens Ave
Naperville, IL 60563-4303
Phone (630) 548-1407

Other identifiers 1

IdentifierTypeStateIssuer
036-090331OtherILMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20061003000029 IL Practitioner - Hospitalist 1557366242 Reassigns benefits to 3 organizations
I20101014001136 IN Practitioner - Internal Medicine 1557366242
I20210503000027 IL Practitioner - Internal Medicine 1557366242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 E 8TH St
Gibson City, IL 60936-1422
Phone (217) 727-1088

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-090331ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Current Accepting new patients
Gibson Community Hospital Association CurrentSince Jul 10, 2017 Accepting new patients
Gibson Community Hospital Association CurrentSince Jul 10, 2017 Accepting new patients
Illinois Medical Care LTD CurrentSince May 1, 2021 Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince Aug 16, 2018 Accepting new patients
Community Health Services, SC Past Accepting new patients

Locations

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

5025 N Paulina St
Chicago, IL 60640
Phone (773) 271-9040

6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

201 E 8th St
Gibson City, IL 60936
Phone (217) 727-1088

7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013026004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 DICKENS AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634303",
            "telephone_number": "630-548-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 DICKENS AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634303",
            "telephone_number": "630-548-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABRI",
        "first_name": "MOHAMED",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-090331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "036-090331",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.