Individual provider Active NPI

Syed Mohammed Munzir, MD

  • Neurology Physician
  • Elgin, IL
National Provider Identifier
1255356762
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036-108636 Issued in IL
Practice address
40 N Airlite St Ste 4
Elgin, IL 60123-4965
Phone
(847) 628-9977
Fax
(847) 628-9955
NPI assigned
Jul 13, 2006
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036-108636 IL Primary

Addresses

Primary practice location

40 N Airlite St Ste 4
Elgin, IL 60123-4965

Mailing address

40 N Airlite St Ste 4
Elgin, IL 60123-4965
Phone (847) 628-9977

Other identifiers 3

IdentifierTypeStateIssuer
036108636MedicaidIL
P00210692OtherILRAILROAD MEDICARE
0004923104OtherILBLUE SHIELD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address smunzir289488@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031121000691 IL Practitioner - Neurology 8921902818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Neurology and Sleep Clinic LLCGroup PAC ID 0547407942, 2 clinicians

Practice addresses (Care Compare)

40 N Airlite St
Suite 4
Elgin, IL 60123-4965
Phone (847) 628-9977

77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 695-3200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-108636ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Neurology & Sleep Clinic LLC Neurology CurrentSince Mar 1, 2013 Accepting new patients
Access Neurocare PC Neurology PastSince Dec 1, 2004 Accepting new patients
Dupage Medical Group LTD Past Accepting new patients

Locations

2971 W Algonquin Rd
Ste 106
Algonquin, IL 60102
Phone (847) 628-9977

40 N Airlite St
Ste 4
Elgin, IL 60123
Phone (847) 628-9977

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1255356762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N AIRLITE ST STE 4",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234965",
            "telephone_number": "847-628-9977",
            "fax_number": "847-628-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N AIRLITE ST STE 4",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234965",
            "telephone_number": "847-628-9977",
            "fax_number": "847-628-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNZIR",
        "first_name": "SYED",
        "middle_name": "MOHAMMED",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-108636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108636",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00210692",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0004923104",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smunzir289488@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "40 N Airlite St Ste 4",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "40 N Airlite St Ste 4",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601234965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.