Individual provider Active NPI

Mawusi Arnett, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1063868313
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.149689 Issued in IL
Practice address
2045 W Grand Ave Ste B997773
Chicago, IL 60612-1576
Phone
(312) 834-4423
NPI assigned
May 5, 2016
Last updated
Jan 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 336.110715 IL
Family Medicine Physician 207Q00000X A183117 CA
Family Medicine Physician 207Q00000X 036.149689 IL Primary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 036.149689 IL
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 336.110715 IL
Obesity Medicine (Preventive Medicine) Physician 2083B0002X A183117 CA

Addresses

Primary practice location

2045 W Grand Ave Ste B997773
Chicago, IL 60612-1576

Mailing address

2045 W Grand Ave Ste B997773
Chicago, IL 60612-1576
Phone (312) 834-4423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190724001971 IL Practitioner - Family PracticePractitioner - Hospitalist 2769768316 Reassigns benefits to 2 organizations
I20241231003599 CA Practitioner - Family Practice 2769768316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chess Medical PCGroup PAC ID 5496126914, 12 clinicians
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians

Practice addresses (Care Compare)

12100 Wilshire Blvd
FL 8
Los Angeles, CA 90025-7120
Phone (203) 666-8145

875 N Michigan Ave
31St Floor
Chicago, IL 60611-1803
Phone (203) 666-8145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.149689ILMDFamily Medicine Physician
A183117CAMDObesity Medicine (Preventive Medicine) Physician
336.110715ILMDObesity Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC CurrentSince Nov 5, 2024 Accepting new patients
Chess Medical, P.C. CurrentSince Jan 6, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Tapestry Telehealth PLLC CurrentSince Jan 6, 2026 Accepting new patients

Locations

2151 Michelson Dr
Ste 225
Irvine, CA 92612
Phone (949) 298-3200

12100 Wilshire Blvd
Fl 8
Los Angeles, CA 90025
Phone (317) 658-5000

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

99 Hawley Ln
Ste 1102
Stratford, CT 06614

875 N Michigan Ave
Fl 31
Chicago, IL 60611
Phone (312) 794-7730

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1063868313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B997773",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "312-834-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B997773",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121576",
            "telephone_number": "312-834-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNETT",
        "first_name": "MAWUSI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "336.110715",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A183117",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.149689",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "IL",
            "license": "036.149689",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "IL",
            "license": "336.110715",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "CA",
            "license": "A183117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.