Individual provider Active NPI

Mohammed Omar Jahangir, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1073748422
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01072170A Issued in IN
Practice address
4646 N Marine Dr
Chicago, IL 60640-5759
Phone
(773) 564-5225
NPI assigned
May 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301508008 MI
Internal Medicine Physician 207R00000X 125.052223 IL
Internal Medicine Physician 207R00000X 01072170A IN Primary

Addresses

Primary practice location

4646 N Marine Dr
Chicago, IL 60640-5759

Mailing address

4600 N Clarendon Ave
Apartment 201
Chicago, IL 60640-5710
Phone (773) 954-8227

Other practice location 1

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020

Other identifiers 1

IdentifierTypeStateIssuer
201200200MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130720000130 IN Practitioner - Internal MedicinePractitioner - Hospitalist 1456526813 Reassigns benefits to 5 organizations
I20230926000837 MI Practitioner - Internal Medicine 1456526813 Reassigns benefits to 6 organizations
I20241114000844 NY Practitioner - Internal Medicine 1456526813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital of Bremen Inc 5 clinicians
Ascension Borgess Lee Hospital 28 clinicians
Three Rivers Health System Inc 42 clinicians

Practice addresses (Care Compare)

1020 High Rd
Bremen, IN 46506-1093
Phone (574) 546-2211

420 W High St
Lee Memorial Hospital Corporation
Dowagiac, MI 49047-1943
Phone (269) 782-8681

701 S Health Pkwy
Three Rivers, MI 49093-8354

701 S Health Pkwy
Three Rivers HLTH
Three Rivers, MI 49093-8352
Phone (574) 647-1817

711 S Health Pkwy
Suite 1
Three Rivers, MI 49093-8354
Phone (269) 273-8557

715 S Health Pkwy
Three Rivers, MI 49093-8352
Phone (269) 273-8471

Hospital & facility affiliations

  • Community Hospital of Bremen Inc Hospital, Bremen, IN, CCN 151300
  • Three Rivers Health Hospital, Three Rivers, MI, CCN 230015
  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058
  • Ascension Borgess Lee Hospital Hospital, Dowagiac, MI, CCN 231315
  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018
  • Community Hospital of Bremen Inc Nursing home, CCN 15Z300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.052223ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Health System, Inc Current Accepting new patients
Apogee Medical Group Indiana PC Internal Medicine CurrentSince Mar 25, 2013 Accepting new patients
Informe Healthcare in, LLC Internal Medicine CurrentSince Jun 27, 2022 Accepting new patients
Gloversville Physician Medicine Services PC CurrentSince Nov 1, 2024 Accepting new patients
Grand Traverse Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Informe Healthcare LLC Internal Medicine CurrentSince Jun 27, 2022 Accepting new patients
Community Hospital of Bremen, Inc. Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Clarksville Physician Services PC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Three Rivers Health System, Inc CurrentSince Aug 30, 2023 Accepting new patients
Diane M. Mackie & Associates, PC Current Accepting new patients
North Michigan Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Otsego Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Three Rivers Health System, Inc CurrentSince Aug 30, 2023 Accepting new patients
Community Hospital of Bremen, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Wexford Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Peach Physician Services, PC Past Accepting new patients
Hightower Physician Services, PC Past Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Internal Medicine Past Accepting new patients

Locations

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

745 N Swope St
Greenfield, IN 46140
Phone (317) 462-9221

8800 Virginia Pl
Merrillville, IN 46410
Phone (219) 736-1310

1420 E Douglas Rd
Mishawaka, IN 46545
Phone (574) 307-7200

17475 Dugdale Dr
South Bend, IN 46635
Phone (574) 247-7500

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

200 Corporate Blvd
Lafayette, LA 70508

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-8557

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

Interoperability endpoints

  • Direct secure messaging: mjahangir3014318@carolinashealthcaresystem.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Three Rivers HealthThree Rivers, MI, CCN 23T015 Hospital Corporate Director Aug 31, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 27

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

View all 27

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1073748422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N CLARENDON AVE",
            "address_2": "APARTMENT 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405710",
            "telephone_number": "773-954-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "773-564-5225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11109 Parkview Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451701",
            "country_code": "US",
            "telephone_number": "260-266-2020",
            "fax_number": "260-266-2009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAHANGIR",
        "first_name": "MOHAMMED",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301508008",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.052223",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01072170A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201200200",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.