Mohammad Ilyas, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01044500A Issued in IN

Practice address

2024 Hickory Rd
Ste 104
Homewood, IL 60430-2158

Phone

(708) 647-9906

Fax

(815) 469-0169

NPI assigned

Aug 15, 2005

Last updated

Aug 11, 2018By 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 3

Addresses

Other identifiers 2

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

Specialty

Psychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533945600000",
    "number": "1205828449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 HICKORY RD",
            "address_2": "STE 104",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302158",
            "telephone_number": "708-647-9906",
            "fax_number": "815-469-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 HICKORY RD",
            "address_2": "STE 104",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302158",
            "telephone_number": "708-647-9906",
            "fax_number": "815-469-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILYAS",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2018-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01044500A",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036 093224",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35 07 0335 1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000203739",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200198480A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Huff, LCSW
• Phyllis Valerie Hughes, OTR/L
• Tricia Hutter, RPH
• Clare Idaszak, RPH
• Illinois Urgent Care Professionals PLLC (Local MD Urgent Care)
• Impromed Inc
• Indrajit J Patel MD
• Stevie Inghram, ND
• Rosalinda Iniguez-Perez
• Insight Chicago, Inc. (Insight Local MD Urgent Care Homewood)

• Psychiatry Physician in Homewood, IL
• Providers in Homewood, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.