Active NPI
Syed A Moeed, M.D.
- Internal Medicine Physician
- Evergreen Park, IL
National Provider Identifier
1255371498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036088811
- Practice address
- 3228 W 95TH St
Evergreen Park, IL 60805-2314 - Phone
- (708) 422-6415
- Fax
- (708) 422-6534
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036088811 | IL | Primary |
Addresses
Primary practice location
3228 W 95TH St
Evergreen Park, IL 60805-2314
Mailing address
1842 Heather St
Bolingbrook, IL 60490-2077
Phone (630) 378-5183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036088811 | Other | IL | STATE LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3228 W 95TH St
Evergreen Park, IL 60805-2314
Phone (708) 422-6415
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036088811 | IL | MD | Internal Medicine Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCCABA/Endpoint/HCCABA
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Evergreen Park, IL
- NPI 1538260088
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
-
- Psychiatric Hospital Unit
- Chicago, IL
- NPI 1427547538
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1962425611
-
- Community Based Hospice Care Agency
- Oak Brook, IL
- NPI 1184691651
-
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1255371498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 HEATHER ST",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604902077",
"telephone_number": "630-378-5183",
"fax_number": "708-422-6534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3228 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052314",
"telephone_number": "708-422-6415",
"fax_number": "708-422-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOEED",
"first_name": "SYED",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036088811",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036088811",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.