Individual provider Active NPI

Saad Muttar, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1144955063
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00000000000 Issued in IL
Practice address
4001 W Devon Ave Ste 507
Chicago, IL 60646-4540
Phone
(773) 853-0857
Fax
(872) 804-2266
NPI assigned
Jul 24, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 00000000000 IL Primary

Addresses

Primary practice location

4001 W Devon Ave Ste 507
Chicago, IL 60646-4540

Mailing address

10044 Bronx Ave
Skokie, IL 60077-1002
Phone (872) 235-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00000000000ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M.O.R.E Services Inc CurrentSince Jul 31, 2022 Accepting new patients

Locations

4001 W Devon Ave
Ste 507
Chicago, IL 60646
Phone (773) 853-0857

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": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1144955063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10044 BRONX AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771002",
            "telephone_number": "872-235-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE STE 507",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464540",
            "telephone_number": "773-853-0857",
            "fax_number": "872-804-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTAR",
        "first_name": "SAAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "00000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.