Individual provider Active NPI

Muhammed Salman Mohiuddin, MD

  • Internal Medicine Physician
  • Lincolnwood, IL
National Provider Identifier
1144299785
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301079049 Issued in MI
Practice address
3652 W Albion Ave
Lincolnwood, IL 60712-4006
Phone
(847) 674-2332
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301079049 MI Primary
Emergency Medicine Physician 207P00000X 4301079049 MI

Addresses

Primary practice location

3652 W Albion Ave
Lincolnwood, IL 60712-4006

Mailing address

3652 W Albion Ave
Lincolnwood, IL 60712-4006
Phone (847) 674-2332

Other identifiers 3

IdentifierTypeStateIssuer
MM079049OtherBCBS
104875694MedicaidMI
4346185MedicaidMI

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
I20081010000218 IL Practitioner - Internal Medicine 0446207872 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Practice addresses (Care Compare)

1401 S California Ave
Chicago, IL 60608-1858
Phone (773) 522-6656

1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone (773) 542-2000

2544 W Montrose Ave
Chicago, IL 60618-1537
Phone (773) 267-2622

California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000

Hospital & facility affiliations

  • Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018
  • Kindred Hospital - Chicago Long-term care hospital, Northlake, IL, CCN 142008
  • Warren Barr South Loop Nursing home, Chicago, IL, CCN 145632

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
71.53
Promoting interoperability
100
Improvement activities
40
Cost
76.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Muhammed Mohiuddin, MD, PC Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
KND Development 59, LLC CurrentSince Feb 14, 2012 Accepting new patients
KND Development 59, LLC CurrentSince Feb 14, 2012 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Mount Sinai Community Foundation Internal Medicine CurrentSince Jun 6, 2015 Accepting new patients
Emergency Health Partners Muskegon Emergency Medicine Past Accepting new patients
Mount Sinai School of Medicine Internal Medicine Past Accepting new patients

Locations

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222

1501 S California Ave
#7140
Chicago, IL 60608
Phone (773) 257-4758

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

365 E North Ave
Northlake, IL 60164
Phone (517) 273-1540

225 Edward St
Sycamore, IL 60178
Phone (815) 225-2144

Organizations & group practices 8

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 4

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1144299785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 W ALBION AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124006",
            "telephone_number": "847-674-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 W ALBION AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124006",
            "telephone_number": "847-674-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "MUHAMMED",
        "middle_name": "SALMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301079049",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301079049",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "MM079049",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104875694",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4346185",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.