Mohammad Abtahi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036077353 Issued in IL

Practice address

1635 N Arlington Heights Rd Ste 203
Arlington Heights, IL 60004-3960

Phone

(847) 375-0888

Fax

(847) 375-0396

NPI assigned

Jul 25, 2006

Last updated

Jan 19, 2022By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Mohammad Abtahi M.D.

  • Pediatrics Physician
  • Des Plaines, IL
  • NPI 1063686939
  Authorized official Same address or phone

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1174546048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1190",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600357190",
            "telephone_number": "847-375-8889",
            "fax_number": "847-375-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N ARLINGTON HEIGHTS RD STE 203",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043960",
            "telephone_number": "847-375-0888",
            "fax_number": "847-375-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABTAHI",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036077353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077353",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "364194294",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malik Abraham, DPM
• Sharon Abraham, APN-CNP
• Absolute Home Care, LLC.
• Absolute Medical & Diagnostic Center, SC (Absolute Health Clinic)
• Absolutevision Inc. (AssureVision)
• Amannie Yacoub Abu-Kweik, DMD
• Access Community Health Network (ACCESSRx)
• Access Community Health Network
• Access Community Health Network
• Access Community Health Network

• Pediatrics Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.