NPIMap

Individual provider Active NPI

Mohamed Dahodwala, MD

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1043230857
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036065163 Issued in IL
Practice address
6441 S Pulaski Rd
Suite 100
Chicago, IL 60629-5148
Phone
(773) 284-1234
Fax
(773) 284-1811
NPI assigned
Jul 21, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036065163 IL Primary

Addresses

Primary practice location

6441 S Pulaski Rd
Suite 100
Chicago, IL 60629-5148

Mailing address

PO Box 64568
Phoenix, AZ 85082-4568
Phone (630) 288-6200

Other identifiers 6

IdentifierTypeStateIssuer
036065163MedicaidIL
01618378OtherILBCBS PROVIDER ID
060053234OtherILMEDICARE -- RR
01636774OtherILBCBS PROVIDER ID
060053233OtherILMEDICARE -- RR
060012282OtherILRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000086 IL Practitioner - Cardiovascular Disease (Cardiology) 2860394962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians

Practice addresses (Care Compare)

2340 S Highland Ave
Suite 100
Lombard, IL 60148-7131
Phone (773) 284-1234

2701 W 68TH St
Chicago, IL 60629-1813
Phone (773) 884-9000

2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-4425

6441 S Pulaski
Suite 100
Chicago, IL 60629-5148

645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 626-4300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Services Illinois, LTD Current Accepting new patients
Cardiac Associates SC Cardiovascular Disease CurrentSince Dec 1, 2006 Accepting new patients
Vivek Gupta, M.D., S.C. Past Accepting new patients
Midwest Cardiac Center SC Cardiovascular Disease PastSince May 31, 2020 Accepting new patients

Locations

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

2701 W 68th St
Fl 3
Chicago, IL 60629
Phone (773) 565-2550

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

6441 S Pulaski Rd
Ste 100
Chicago, IL 60629
Phone (773) 284-1234

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

2340 S Highland Ave
Ste 100
Lombard, IL 60148
Phone (630) 495-3338

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

777 Oakmont Ln
Ste 1600
Westmont, IL 60559

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1043230857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64568",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850824568",
            "telephone_number": "630-288-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6441 S PULASKI RD",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295148",
            "telephone_number": "773-284-1234",
            "fax_number": "773-284-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHODWALA",
        "first_name": "MOHAMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036065163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065163",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "01618378",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE -- RR",
            "identifier": "060053234",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "01636774",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE -- RR",
            "identifier": "060053233",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060012282",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.