Siad Mohammed Adam, M.D
Individual provider Active NPI Internal Medicine Physician · McHenry, IL
NPI 1093569774 · NPPES record last updated Aug 1, 2024
Key facts
- NPI
- 1093569774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 125.085005 (IL)
- Practice address
- 4201 Medical Center Drive
McHenry, IL 60050 - Phone
- (815) 344-5000
- NPI assigned
- Apr 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241009000800 | IL | Order and Referring Only - Internal Medicine |
6406387828 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 125.085005 | IL | Yes |
Addresses
Primary practice location
4201 Medical Center Drive
McHenry, IL 60050
Mailing address
4201 Medical Center Drive
McHenry, IL 60050
Phone (815) 344-5000
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All providers in McHenry, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.