Individual provider Active NPI

Mark Hazem Sahlol

  • Internal Medicine Physician
  • Dyer, IN
National Provider Identifier
1184930604
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01075458A Issued in IN
Practice address
24 Joliet St
Dyer, IN 46311-1705
Phone
(219) 852-1524
Fax
(219) 933-2288
NPI assigned
Aug 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036124446 IL
Internal Medicine Physician 207R00000X MD152202 OR
Internal Medicine Physician 207R00000X 01075458A IN Primary
Hospitalist Physician 208M00000X 01075458A IN

Addresses

Primary practice location

24 Joliet St
Dyer, IN 46311-1705

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

9509 Georgia St
Crown Point, IN 46307-6518
Phone (219) 472-2200

Other practice location 2

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020

Other practice location 3

1601 SE Court Ave
Pendleton, OR 97801-3217
Phone (541) 276-5121

Other identifiers 1

IdentifierTypeStateIssuer
201292580MedicaidIN

Other names 1

  • Mohamad Hazem Sahlol Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Direct Messaging Address msahlol436651@Direct.Parkviewexchange.com
Direct Messaging Address msahlol199657@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150616002660 IN Practitioner - Internal MedicinePractitioner - Hospitalist 3274721428 Reassigns benefits to 3 organizations
I20181101001529 IL Practitioner - HospitalistPractitioner - Internal Medicine 3274721428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians
HS Medical Care, Inc.Group PAC ID 1456826320, 2 clinicians

Practice addresses (Care Compare)

5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 932-2300

9509 Georgia St
Crown Point, IN 46307-6518
Phone (219) 472-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01075458AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince May 31, 2015 Accepting new patients
Parkview Health System Inc Internal Medicine Current Accepting new patients
Franciscan Physician Network Internal Medicine Current Accepting new patients
Parkview Health System, Inc. Internal Medicine CurrentSince Dec 22, 2020 Accepting new patients
Elmhurst Memorial Healthcare Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Aug 1, 2022 Accepting new patients
HS Medical Care Inc Internal Medicine Current Accepting new patients

Locations

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

18636 Dixie Hwy
Homewood, IL 60430
Phone (708) 647-0571

3700 W 203rd St
Ste 103
Olympia Flds, IL 60461
Phone (708) 679-2130

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

9509 Georgia St
Crown Point, IN 46307
Phone (219) 472-2200

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

24 Joliet St
Ste 101
Dyer, IN 46311
Phone (219) 864-2059

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: msahlol199657@direct.franciscanalliance.org
  • Direct secure messaging: msahlol436651@direct.parkviewexchange.com

Organizations & group practices 7

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 5

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": "1282348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1184930604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 JOLIET ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111705",
            "telephone_number": "219-852-1524",
            "fax_number": "219-933-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9509 Georgia St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463076518",
            "country_code": "US",
            "telephone_number": "219-472-2200",
            "fax_number": "219-472-2147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11109 Parkview Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451701",
            "country_code": "US",
            "telephone_number": "260-266-2020",
            "fax_number": "260-266-2009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 SE Court Ave",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "OR",
            "postal_code": "978013217",
            "country_code": "US",
            "telephone_number": "541-276-5121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHLOL",
        "first_name": "MARK",
        "middle_name": "HAZEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-21",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036124446",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD152202",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01075458A",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01075458A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201292580",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "2200 Randallia Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468054638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2200 Randallia Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468054638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msahlol436651@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "2200 Randallia Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468054638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msahlol199657@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24 Joliet St",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463111705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MOHAMAD",
            "last_name": "SAHLOL",
            "middle_name": "HAZEM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.