Individual provider Active NPI

Mohammad Inam Hussain, M.D.

  • Anesthesiology Physician
  • Oak Brook, IL
National Provider Identifier
1275586067
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036083169 Issued in IL
Practice address
1301 W 22ND St
Suite 610
Oak Brook, IL 60523-2006
Phone
(630) 537-1720
Fax
(630) 537-1724
NPI assigned
May 19, 2006
Last updated
Oct 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01069989A IN
Anesthesiology Physician 207L00000X 036083169 IL Primary
Interventional Pain Medicine Physician 208VP0014X 036083169 IL

Addresses

Primary practice location

1301 W 22ND St
Suite 610
Oak Brook, IL 60523-2006

Mailing address

1301 W 22ND St
Suite 610
Oak Brook, IL 60523-2006
Phone (630) 537-1720

Other identifiers 1

IdentifierTypeStateIssuer
036083169MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131125000663 IL Practitioner - Anesthesiology 6002807245 Reassigns benefits to 2 organizations
I20171102002472 IN Practitioner - Anesthesiology 6002807245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians
La Porte County Anesthesia Associates, LLCGroup PAC ID 4688633241, 26 clinicians

Practice addresses (Care Compare)

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

301 W Homer St
Franciscian Health Michigan City
Michigan City, IN 46360-4358
Phone (219) 877-1033

3500 Franciscan Way
Franciscian Health Michigan City
Michigan City, IN 46360-0021
Phone (219) 877-8511

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sda Consultants PLLC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Apollo Medical Group of Illinois LLC Anesthesiology CurrentSince Apr 14, 2025 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Medicine Inpatient Group, LLC Past Accepting new patients
Racine Anesthesia Services, LLC Anesthesiology Past Accepting new patients
Southeast Anesthesiology Anesthesiology Past Accepting new patients

Locations

3034 W Peterson Ave
Chicago, IL 60659
Phone (773) 973-7432

2475 Dean St
St Charles, IL 60175
Phone (630) 584-9800

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

Interoperability endpoints

  • Direct secure messaging: mhussain525236@direct.franciscanalliance.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1275586067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 22ND ST",
            "address_2": "SUITE 610",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232006",
            "telephone_number": "630-537-1720",
            "fax_number": "630-537-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 22ND ST",
            "address_2": "SUITE 610",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232006",
            "telephone_number": "630-537-1720",
            "fax_number": "630-537-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "MOHAMMAD",
        "middle_name": "INAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01069989A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036083169",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036083169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083169",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.