Individual provider Active NPI

Martin F. Mozes, M.D.

  • Transplant Surgery Physician
  • Chicago, IL
National Provider Identifier
1164749289
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
036.052424 Issued in IL
Practice address
3150 N Lake Shore Dr
Unit 18a
Chicago, IL 60657-4810
Phone
(773) 755-7750
Fax
(773) 755-7752
NPI assigned
Apr 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 036.052424 IL Primary
Surgery Physician 208600000X 036.052424 IL

Addresses

Primary practice location

3150 N Lake Shore Dr
Unit 18a
Chicago, IL 60657-4810

Mailing address

3150 N Lake Shore Dr
Unit 18a
Chicago, IL 60657-4810
Phone (773) 755-7750

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.052424ILMDTransplant Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1164749289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N LAKE SHORE DR",
            "address_2": "UNIT 18A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574810",
            "telephone_number": "773-755-7750",
            "fax_number": "773-755-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N LAKE SHORE DR",
            "address_2": "UNIT 18A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574810",
            "telephone_number": "773-755-7750",
            "fax_number": "773-755-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZES",
        "first_name": "MARTIN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "IL",
            "license": "036.052424",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.052424",
            "primary": false
        }
    ],
    "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 Apr 28, 2010; 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.