Active NPI
Mohammad W Abusaoud, RN
- Certified Registered Nurse Anesthetist
- Orland Hills, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209030157
- Practice address
- 9338 Pepperwood Dr
Orland Hills, IL 60487-5604 - Phone
- (708) 971-4493
- NPI assigned
- Aug 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041462107 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209030157 | IL | Primary |
Addresses
Primary practice location
9338 Pepperwood Dr
Orland Hills, IL 60487-5604
Mailing address
9338 Pepperwood Dr
Orland Hills, IL 60487-5604
Phone (708) 971-4493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250227000363 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4789104225 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Loyola University Medical Center
Practice addresses (Care Compare)
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Hospital & facility affiliations
- Loyola University Medical Center
- Advocate Trinity Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041462107 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients |
Locations
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
2160 S 1st Ave
#150
Maywood, IL 60153
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
Organizations & group practices 8
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.
-
- Community/Retail Pharmacy
- Maywood, IL
- NPI 1184789299
-
- Interventional Pain Medicine Physician
- Oak Lawn, IL
- NPI 1447209390
IL
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Maywood, IL
- NPI 1063504165
-
- Community/Retail Pharmacy
- Maywood, IL
- NPI 1104462126
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Home Infusion Therapy Pharmacy
- Hickory Hills, IL
- NPI 1386785152
-
- Durable Medical Equipment & Medical Supplies
- Maywood, IL
- NPI 1912042029
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
Hospital
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1558479212
Hospital
-
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1225757750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9338 PEPPERWOOD DR",
"city": "ORLAND HILLS",
"state": "IL",
"postal_code": "604875604",
"telephone_number": "708-971-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9338 PEPPERWOOD DR",
"city": "ORLAND HILLS",
"state": "IL",
"postal_code": "604875604",
"telephone_number": "708-971-4493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUSAOUD",
"first_name": "MOHAMMAD",
"middle_name": "W",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-26",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041462107",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209030157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.