Individual provider Active NPI

Farah Parveen Mohammed, DPM

  • Foot & Ankle Surgery Podiatrist
  • Berwyn, IL
National Provider Identifier
1275880270
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005513 Issued in IL
Practice address
3100 Oak Park Ave
Berwyn, IL 60402-3291
Phone
(708) 484-3338
NPI assigned
Aug 8, 2012
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005513 IL Primary

Addresses

Primary practice location

3100 Oak Park Ave
Berwyn, IL 60402-3291

Mailing address

3100 Oak Park Ave
Berwyn, IL 60402-3291
Phone (708) 484-3338

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131017001497 IL Practitioner - Podiatry 1557595980 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Service of America CorpGroup PAC ID 2668745282, 3 clinicians
3H Medical Group SCGroup PAC ID 0840463915, 3 clinicians

Practice addresses (Care Compare)

6120 W Ogden Ave
Cicero, IL 60804-3743
Phone (708) 863-0500

9325 S Roberts Rd
Hickory Hills, IL 60457-2110
Phone (708) 598-8999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue159
Removal or shaving of skin growth24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005513ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Potach D.P.M. P.C. CurrentSince Jan 1, 2024 Accepting new patients
Suburban Foot & Ankle Associates, Inc Past Accepting new patients

Locations

3100 Oak Park Ave
Berwyn, IL 60402
Phone (708) 484-3338

31 W Dundee Rd
Wheeling, IL 60090
Phone (847) 215-1525

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1275880270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023291",
            "telephone_number": "708-484-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023291",
            "telephone_number": "708-484-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "FARAH",
        "middle_name": "PARVEEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.