Active NPI
Mohamed Zghouzi, MD
- Interventional Cardiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036.166891
- Practice address
- 5841 S Maryland Ave
Chicago, IL 60637-1443 - Phone
- (773) 702-9461
- Fax
- (773) 702-4183
- NPI assigned
- Jun 27, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301502286 | MI | |
| Interventional Cardiology Physician | 207RI0011X | 036.166891 | IL | Primary |
| Internal Medicine Physician | 207R00000X | R73467 | AZ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | TN |
Addresses
Primary practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-4503
Phone (773) 702-1150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IL, TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-5008
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R73467 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Specialty Services | Multi-Specialty | Current | Accepting new patients |
| Trinity Medical Staffing LLC | Multi-Specialty | Current | Accepting new patients |
| 24 On Physicians, PC | Multi-Specialty | Current | Accepting new patients |
| 24 On Physicians, P.C. | Multi-Specialty | Current | Accepting new patients |
| Inpatient Consultants of Michigan PC | Multi-Specialty | Current | Accepting new patients |
| VHS Physicians of Michigan | Multi-Specialty | Current | Accepting new patients |
| Ephraim McDowell Regional Medical Center Incorporated | Past | Accepting new patients |
Locations
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
Interoperability endpoints
- mohamed.zghouzi.1@7654.direct.athenahealth.com
Organizations & group practices 7
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
- Harrisburg, IL
- NPI 1770103426
Multi-Specialty
-
- Hospitalist Physician
- Livonia, MI
- NPI 1861442824
Multi-Specialty
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
Multi-Specialty
-
- General Acute Care Hospital
- Danville, KY
- NPI 1821135963
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Danville, KY
- NPI 1639360472
-
- General Acute Care Hospital
- Danville, KY
- NPI 1821135963
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1275897993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 HARVESTER DR STE 110",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605274503",
"telephone_number": "773-702-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371443",
"telephone_number": "773-702-9461",
"fax_number": "773-702-4183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZGHOUZI",
"first_name": "MOHAMED",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301502286",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036.166891",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "R73467",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TN",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.