Active NPI
Mohammad Inam Hussain, M.D.
- Anesthesiology Physician
- Oak Brook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036083169
- 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, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036083169 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sda Consultants PLLC | Anesthesiology | Current | Accepting new patients |
| Apollo Medical Group of Illinois LLC | Anesthesiology | Current | 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
- 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.
-
- Anesthesiology Physician
- Michigan City, IN
- NPI 1477553634
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1730934597
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1336605500
-
- Clinical Medical Laboratory
- Clinton, IN
- NPI 1194140293
-
- Hospitalist Physician
- Middletown, OH
- NPI 1326227307
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1922846351
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.