Active NPI
Mohamed Ammar Katerji, M.D
- Neurology with Special Qualifications in Child Neurology Physician
- Naperville, IL
National Provider Identifier
1295736726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 036078050
- Practice address
- 1220 Iroquois Ave #140
Naperville, IL 60563 - Phone
- (630) 778-8004
- Fax
- (630) 946-6634
- NPI assigned
- Aug 9, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-078050 | IL | |
| Neurology Physician | 2084N0400X | 036-078050 | IL | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 036078050 | IL | Primary |
Addresses
Primary practice location
1220 Iroquois Ave #140
Naperville, IL 60563
Mailing address
1220 Iroquois Ave #140
Naperville, IL 60563
Phone (630) 778-8004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-078050-5 | Medicaid | IL | |
| 036078050 | Medicaid | IL |
Other names 1
- M Ammar Katerji
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-078050 | IL | MD | Pediatrics Physician |
| 036078050 | IL | MD | Neurology with Special Qualifications in Child Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1295736726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 IROQUOIS AVE #140",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60563",
"telephone_number": "630-778-8004",
"fax_number": "630-946-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 IROQUOIS AVE #140",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60563",
"telephone_number": "630-778-8004",
"fax_number": "630-946-6634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATERJI",
"first_name": "MOHAMED",
"middle_name": "AMMAR",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-078050",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036-078050",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "IL",
"license": "036078050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-078050-5",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036078050",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "M",
"last_name": "KATERJI",
"middle_name": "AMMAR",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.