Individual provider Active NPI

Ahmad Mousa, MD

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1265973606
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A175964 Issued in CA
Practice address
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone
(415) 353-1821
Fax
(415) 476-0616
NPI assigned
Mar 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036.156115 IL
Diagnostic Radiology Physician 2085R0202X A175964 CA Primary

Addresses

Primary practice location

505 Parnassus Ave
San Francisco, CA 94143-2204

Mailing address

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 353-1821

Other practice location 1

1001 Potrero Avenue
Building 5, 1st Floor
San Francisco, CA 94110-3518
Phone (628) 206-5871

Other practice location 2

40946 US Highway 19 N # 101
Tarpon Springs, FL 34689-5446
Phone (813) 720-7237

Other practice location 3

1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 355-4000

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
I20230407001606 IL Practitioner - Diagnostic Radiology 7810261591 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Human Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, 1,134 clinicians
Valley Imaging Consultants LLCGroup PAC ID 6800882374, 13 clinicians
Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians
Resilience Healthcare - Lakefront Medical Associates LLCGroup PAC ID 5991046468, 37 clinicians

Practice addresses (Care Compare)

1009 S Wood St
Chicago, IL 60612-3747
Phone (312) 355-4300

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 898-4515

2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-4425

3 Eire CT
Oak Park, IL 60302-2519
Phone (708) 763-2328

Hospital & facility affiliations

  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029
  • Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • West Suburban Medical Center Hospital, Oak Park, IL, CCN 140049
  • University of Illinois Hospital and Clinics Hospital, Chicago, IL, CCN 140150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A175964CAMDDiagnostic Radiology Physician
036.156115ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Jun 27, 2022 Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince Dec 29, 2024 Accepting new patients
Cook County Diagnostic Radiology CurrentSince Sep 27, 2024 Accepting new patients
University of California San Francisco CurrentSince Jun 27, 2022 Accepting new patients
Cook County Current Accepting new patients
Cook County CurrentSince Sep 27, 2024 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Mar 1, 2023 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Diagnostic Radiology CurrentSince Dec 16, 2024 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Mar 1, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Jun 27, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Dec 16, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 27, 2022 Accepting new patients
Biotech X-Ray, Inc. CurrentSince Jan 15, 2026 Accepting new patients
Global Imaging Specialists, LLC Diagnostic Radiology PastSince Nov 1, 2020 Accepting new patients
Saint Anthony Health Affiliates Past Accepting new patients

Locations

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 90
San Francisco, CA 94110
Phone (415) 206-8680

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
#931
Chicago, IL 60612
Phone (312) 355-5258

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

Interoperability endpoints

  • Direct secure messaging: amousa18092@uihealth.direct-ci.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1265973606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-1821",
            "fax_number": "415-476-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-1821",
            "fax_number": "415-476-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Avenue",
            "address_2": "Building 5, 1st Floor",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "628-206-5871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40946 US Highway 19 N # 101",
            "address_purpose": "LOCATION",
            "city": "Tarpon Springs",
            "state": "FL",
            "postal_code": "346895446",
            "country_code": "US",
            "telephone_number": "813-720-7237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "312-355-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSA",
        "first_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-18",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.156115",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A175964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.