Mejd Al-Kurdi
Individual provider Active NPI Physician Assistant · Orland Park, IL
NPI 1033814843 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1033814843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085.010234 (IL)
- Practice address
- 8208 W 141St St
Orland Park, IL 60462-2324 - Phone
- (312) 929-7351
- NPI assigned
- Apr 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Community Health Network
Practice addresses (Care Compare)
152 W Lincoln Hwy
Chicago Heights, IL 60411-2619
Phone (708) 754-9687
15200 Lincoln Hwy
Heights, IL 60411-2619
Phone (708) 754-9687
7450 W 63Rd St
Des Plaines Valley Family Health Center
Summit, IL 60501-1816
Phone (708) 458-0757
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240410002763 | IL | Practitioner - Physician Assistant | 5698113512 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.010234 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Network | Current |
Accepting new patients | |
| Access Community Health Network | Current |
Accepting new patients |
Locations
600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000
152 W Lincoln Hwy
Chicago Hts, IL 60411
Phone (708) 754-9687
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.010234 | IL | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
8208 W 141St St
Orland Park, IL 60462-2324
Mailing address
8208 W 141St St
Orland Park, IL 60462-2324
Phone (312) 929-7351
Other providers in Orland Park, IL
- Aishling Companion Home Care
- Audrey Akai
- Xiya Akande-Williams
- Yamen Akhras
- Omar Al Sayed
- Mohamad Al-Massalkhi
- Rami Al-Massalkhi
- Fouad Al-Qawasmi
- Ziad Alaani
- Enas Kamal Alamreia
All providers in Orland Park, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.