Individual provider Active NPI

Mohammed Musadiq Saeed, MD

  • Internal Medicine Physician
  • Addison, IL
National Provider Identifier
1124188081
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036067984 Issued in IL
Practice address
276 West Fullerton Avenue
Addison, IL 60101
Phone
(630) 543-5454
Fax
(630) 543-5471
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036067984 IL Primary

Addresses

Primary practice location

276 West Fullerton Avenue
Addison, IL 60101

Mailing address

276 West Fullerton Avenue
Addison, IL 60101
Phone (630) 543-5454

Other identifiers 2

IdentifierTypeStateIssuer
2201549OtherBLUE CROSS BLUE SHIELD
036067984MedicaidIL

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
I20050103000042 IL Practitioner - Internal Medicine 9739147208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Addison Medical Associates LTDGroup PAC ID 3476511940, 3 clinicians

Practice addresses (Care Compare)

276 W Fullerton Ave
Addison, IL 60101-3767
Phone (630) 543-5454

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Home Care Home health agency, La Grange, IL, CCN 147207
  • Uchicago Medicine Adventhealth Glenoaks Hospital, Glendale Heights, IL, CCN 140292
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Edward Hospital Hospital, Naperville, IL, CCN 140231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036067984ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Addison Medical Associates LTD Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients

Locations

276 W Fullerton Ave
Addison, IL 60101
Phone (630) 543-5454

276 W Fullerton Ave
Ste 203
Addison, IL 60101

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.

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1124188081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 WEST FULLERTON AVENUE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "60101",
            "telephone_number": "630-543-5454",
            "fax_number": "630-543-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 WEST FULLERTON AVENUE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "60101",
            "telephone_number": "630-543-5454",
            "fax_number": "630-543-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAEED",
        "first_name": "MOHAMMED",
        "middle_name": "MUSADIQ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036067984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2201549",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067984",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.