Individual provider Active NPI

Ramadan Hammoud, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Crystal Lake, IL
National Provider Identifier
1134328719
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME126561 Issued in FL
Practice address
360 Station Dr Ste 300
Crystal Lake, IL 60014-8003
Phone
(815) 344-3900
Fax
(815) 356-2388
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 11188 SD
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036157760 IL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME126561 FL Primary

Addresses

Primary practice location

360 Station Dr Ste 300
Crystal Lake, IL 60014-8003

Mailing address

360 Station Dr Ste 300
Crystal Lake, IL 60014-8003
Phone (815) 344-3900

Other practice location 1

1223 Gateway Dr Ste 1F
Melbourne, FL 32901-2607
Phone (321) 215-4910

Other practice location 2

7 Blanchard Cir Ste 202
Wheaton, IL 60189-2039
Phone (630) 208-6775

Other practice location 3

9745 Touchton Rd Unit 1705
Jacksonville, FL 32246-9200
Phone (616) 391-3139

Other practice location 4

1305 W 18th St
Sioux Falls, SD 57105-0401
Phone (605) 328-8700

Other identifiers 1

IdentifierTypeStateIssuer
116350400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IL, NC, WV4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190131000901 SD Practitioner - Endocrinology 7012104730 Reassigns benefits to 1 organization
I20220510000912 IL Practitioner - Endocrinology 7012104730
I20240507003477 NC Practitioner - EndocrinologyPractitioner - Internal Medicine 7012104730 Reassigns benefits to 3 organizations
I20250819001120 WV Practitioner - Endocrinology 7012104730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Physicians Care IncGroup PAC ID 6103814017, 119 clinicians

Practice addresses (Care Compare)

710 Genesis Blvd
Bridgeport, WV 26330-9668
Phone (681) 342-3070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11188SDMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Physicians Care Inc Endocrinology, Diabetes & Metabolism CurrentSince Aug 4, 2025 Accepting new patients
Henderson County Hospital Corporation CurrentSince Jun 1, 2024 Accepting new patients
Henderson County Hospital Corporation CurrentSince May 1, 2024 Accepting new patients
Henderson County Hospital Corporation CurrentSince May 1, 2024 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Dec 1, 2023 Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
United Physicians Care Inc CurrentSince Aug 4, 2025 Accepting new patients
Copilotiq, PC CurrentSince Jul 1, 2024 Accepting new patients
Floridian Emergency Specialists, LLC PastSince Jan 26, 2020 Accepting new patients
Copilotiq Medical PA Past Accepting new patients

Locations

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

3540 Toringdon Way
Ste 200
Charlotte, NC 28277
Phone (704) 575-7816

800 N Justice St
#16
Hendersonville, NC 28791
Phone (828) 694-8350

617 6th Ave W
Hendersonvlle, NC 28739
Phone (704) 696-2570

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

643 5th Ave W
Hendersonvlle, NC 28739
Phone (828) 693-5225

710 Genesis Blvd
Bridgeport, WV 26330
Phone (681) 342-3070

626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22351/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rhammoud1138075@direct.unc.nchie.net

Organizations & group practices 11

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 3

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1134328719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STATION DR STE 300",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148003",
            "telephone_number": "815-344-3900",
            "fax_number": "815-356-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STATION DR STE 300",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148003",
            "telephone_number": "815-344-3900",
            "fax_number": "815-356-2388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr Ste 1F",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-215-4910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Blanchard Cir Ste 202",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601892039",
            "country_code": "US",
            "telephone_number": "630-208-6775",
            "fax_number": "630-208-7937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9745 Touchton Rd Unit 1705",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322469200",
            "country_code": "US",
            "telephone_number": "616-391-3139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571050401",
            "country_code": "US",
            "telephone_number": "605-328-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOUD",
        "first_name": "RAMADAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SD",
            "license": "11188",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036157760",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME126561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116350400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.