Wael McTabi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-081517 Issued in IL

Practice address

1719 Glenwood Ave
Joliet, IL 60435-5835

Phone

(815) 741-3532

NPI assigned

Jun 6, 2006

Last updated

Aug 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Internal MedicineAlso: Family Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine and Family Practice, S.C.Group PAC ID 6002867959, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
• Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGHJAD/Endpoint/IGHJAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Internal Medicine & Family Practice, S.C.

  • Internal Medicine Physician
  • Joliet, IL
  • NPI 1396825956
  Medicare reassignment Care Compare group NPD
• Emergency Medical Specialists, II, S.C.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1689004863
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Medical Center - Joliet LLC

  • General Acute Care Hospital
  • Joliet, IL
  • NPI 1760220198
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • Rehabilitation Hospital Unit
  • New Lenox, IL
  • NPI 1003933797
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  dba Silver Cross Hospital

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1144269093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355835",
            "telephone_number": "815-741-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355835",
            "telephone_number": "815-741-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTABI",
        "first_name": "WAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-081517",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-081517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01039386A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081517",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary McLoughlin
• Tiffanie McNair, CNA,MA
• Bonnie B McPhillips, LCPC CRADC
• Colleen McShea
• Phyllis Marie McSweeney, SPEECH PATHOLOGIST
• Sabrina McWherter, APRN
• MD Orthotic and Prosthetic Lab
• MD Orthotic and Prosthetic Laboratory, Inc
• Mary Suzanne Meadows, OTRL
• Med-Advo-C LLC

• Family Medicine Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.