Active NPI
Mohammed Omar Jahangir, M.D.
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01072170A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201200200 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130720000130 | IN | Practitioner - Internal Medicine | 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 Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Hospital of Bremen IncAscension Borgess Lee HospitalThree Rivers Health System Inc
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
- Three Rivers Health
- Memorial Hospital of South Bend
- Ascension Borgess Lee Hospital
- Elkhart General Hospital
- Community Hospital of Bremen Inc
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.052223 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Rivers Health System, Inc | Current | Accepting new patients | |
| Apogee Medical Group Indiana PC | Internal Medicine | Current | Accepting new patients |
| Informe Healthcare in, LLC | Internal Medicine | Current | Accepting new patients |
| Gloversville Physician Medicine Services PC | Current | Accepting new patients | |
| Grand Traverse Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Informe Healthcare LLC | Internal Medicine | Current | Accepting new patients |
| Community Hospital of Bremen, Inc. | Internal Medicine | Current | Accepting new patients |
| Clarksville Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Three Rivers Health System, Inc | Current | Accepting new patients | |
| Diane M. Mackie & Associates, PC | Current | Accepting new patients | |
| North Michigan Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Otsego Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Three Rivers Health System, Inc | Current | Accepting new patients | |
| Community Hospital of Bremen, Inc. | Current | Accepting new patients | |
| Wexford Physician Services PC | Internal Medicine | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Three Rivers Health | 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.
-
- Rehabilitation Hospital Unit
- Three Rivers, MI
- NPI 1265704449
Corporate Director
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.
-
- Internal Medicine Physician
- Bremen, IN
- NPI 1902017080
IN, Internal Medicine
-
- Internal Medicine Physician
- Goshen, IN
- NPI 1093973885
IN, Internal Medicine
-
- Internal Medicine Physician
- Corydon, IN
- NPI 1811629546
IN, Internal Medicine
-
- Hospitalist Physician
- Gloversville, NY
- NPI 1487907630
NY
-
- Hospitalist Physician
- Traverse City, MI
- NPI 1932913217
Internal Medicine, MI
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1992276638
IN, Internal Medicine
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1407343965
IN, Internal Medicine
-
- Hospitalist Physician
- Charlevoix, MI
- NPI 1972314821
Internal Medicine, MI
-
- Internal Medicine Physician
- Gaylord, MI
- NPI 1346054236
Internal Medicine, MI
-
- Hospitalist Physician
- Cadillac, MI
- NPI 1649084260
Internal Medicine, MI
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Bremen, IN
- NPI 1477597631
Nursing home
-
- General Acute Care Hospital
- Three Rivers, MI
- NPI 1568739423
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.