Individual provider Active NPI

Mazhar Golewale, MD

  • Psychiatry Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1104048446
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6193 Issued in KS
Practice address
1S443 Summit Ave 305
Oakbrook Terrace, IL 60181-3973
Phone
(630) 613-9800
Fax
(630) 613-9865
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 6193 KS Primary

Addresses

Primary practice location

1S443 Summit Ave 305
Oakbrook Terrace, IL 60181-3973

Mailing address

1S443 Summit Ave Ste 305
Oakbrook Terrace, IL 60181-3973
Phone (630) 613-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081117000586 IL Practitioner - Psychiatry 1052471372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suburban Behavioral Health IncGroup PAC ID 6305008962, 3 clinicians

Practice addresses (Care Compare)

1 S443 Summit Ave
Suite 201
Oakbrook Terrace, IL 60181-3972
Phone (630) 613-9800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6193KSMDPsychiatry Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1104048446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S443 SUMMIT AVE STE 305",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813973",
            "telephone_number": "630-613-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S443 SUMMIT AVE 305",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813973",
            "telephone_number": "630-613-9800",
            "fax_number": "630-613-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEWALE",
        "first_name": "MAZHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "6193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.