Active NPI
Abdullah Bin Mahfodh, M.D.
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036152446
- Practice address
- 1501 S California Ave
Chicago, IL 60608-1732 - Phone
- (773) 542-2000
- NPI assigned
- Mar 21, 2017
- Last updated
- Oct 13, 2026
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Psychiatry Physician | 2084P0800X | 036152446 | IL | Primary |
Addresses
Primary practice location
1501 S California Ave
Chicago, IL 60608-1732
Mailing address
26460 Network PL
Chicago, IL 60673-2776
Phone (773) 257-2820
Other practice location 1
1000 E 24th St
Kansas City, MO 64108-2776
Phone (816) 512-7481
Other practice location 2
515 Valley St Ste 203
Maplewood, NJ 07040-4300
Phone (908) 663-2929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
706 N Main St
Rockford, IL 61103-6904
Phone (815) 963-0683
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036152446 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Heritage Behavioral Health Center, Inc. | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Stepping Stones of Rockford, Inc | Psychiatry | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Heritage Behavioral Health Center Inc. | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Suburban Behavioral Health Inc | Psychiatry | Past | Accepting new patients |
Locations
1501 S California Ave
Chicago, IL 60608
Phone (773) 257-6770
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
9532 Eagle Way
Chicago, IL 60678
151 N Main St
Decatur, IL 62523
Phone (217) 420-4776
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
706 N Main St
Rockford, IL 61103
Organizations & group practices 9
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1437127131
Psychiatry
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Allergy & Immunology Physician
- Evanston, IL
- NPI 1497701882
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Decatur, IL
- NPI 1639231731
-
dba Sinai Medical Group
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Decatur, IL
- NPI 1295575330
-
- Rural Acute Care Hospital
- Chicago, IL
- NPI 1104858125
-
dba Sinai Medical Group
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
-
- Psychiatry Physician
- Oakbrook Terrace, IL
- NPI 1851674378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1033640198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26460 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606732776",
"telephone_number": "773-257-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081732",
"telephone_number": "773-542-2000"
}
],
"practiceLocations": [
{
"address_1": "1000 E 24th St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082776",
"country_code": "US",
"telephone_number": "816-512-7481",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 Valley St Ste 203",
"address_purpose": "LOCATION",
"city": "Maplewood",
"state": "NJ",
"postal_code": "070404300",
"country_code": "US",
"telephone_number": "908-663-2929",
"fax_number": "908-219-6213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIN MAHFODH",
"first_name": "ABDULLAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-21",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036152446",
"primary": true
}
],
"identifiers": [],
"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 Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.