Active NPI
Neville Mordi, MD
- Anesthesiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036102632
- Practice address
- 2320 E 93Rd St
Chicago, IL 60617-3983 - Phone
- (773) 967-2000
- NPI assigned
- Feb 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036102632 | IL | Primary |
Addresses
Primary practice location
2320 E 93Rd St
Chicago, IL 60617-3983
Mailing address
925 Sherwood Dr
Lake Bluff, IL 60044-2203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036102632 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041119000829 | IL | Practitioner - Anesthesiology | 7315902244 | Reassigns benefits to 4 organizations |
| I20121205000111 | IN | Practitioner - Anesthesiology | 7315902244 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Dynamics LLCRoseland Community Hospital AssociationRedreef Anesthesia Associates Chartered Indiana LLC
Practice addresses (Care Compare)
4411 Washington Ave
Suite 100
Evansville, IN 47714-0805
Phone (313) 637-9861
45 W 111TH St
Chicago, IL 60628-4200
Phone 77399530003116
600 Grant St
Gary, IN 46402-6001
Phone (888) 851-4642
Hospital & facility affiliations
- Methodist Hospitals Inc
- Roseland Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036102632 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Southern Illinois Surgery Center LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Roseland Community Hospital Association | Anesthesiology | Current | Accepting new patients |
| St. Mary'S Hospital, Centralia, Illinois | Anesthesiology | Current | Accepting new patients |
| Redreef Anesthesia Associates Chartered Indiana LLC | Anesthesiology | Current | Accepting new patients |
| Roseland Community Hospital Association | Current | Accepting new patients | |
| Friedell Clinic, S. C. | Anesthesiology | Current | Accepting new patients |
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| American Anesthesiology of Illinois, LLC | Anesthesiology | Past | Accepting new patients |
| Southeast Anesthesia Consultants LTD | Anesthesiology | Past | Accepting new patients |
Locations
7937 S Harlem Ave
Burbank, IL 60459
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
45 W 111th St
Chicago, IL 60628
Phone (773) 995-3000
190 E Delaware Pl
Chicago, IL 60611
Phone (312) 944-0063
7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310
2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869
4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864
11051 Broadway
Ste B
Crown Point, IN 46307
Phone (219) 308-0193
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
Interoperability endpoints
- nevillemordi@jph.medalliesdirect.net
Organizations & group practices 13
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.
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1306029889
Anesthesiology, IL
-
- Anesthesiology Physician
- Gary, IN
- NPI 1215783766
Anesthesiology, IN
-
- Anesthesiology Physician
- Mount Vernon, IL
- NPI 1043757487
Anesthesiology, IL
-
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
IL
-
- Community/Retail Pharmacy
- Chicago, IL
- NPI 1619417979
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1568472819
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
-
- Anesthesiology Physician
- Centralia, IL
- NPI 1477097871
Anesthesiology
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1669417440
Anesthesiology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1568472819
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1295879450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 SHERWOOD DR",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600442203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 E 93RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606173983",
"telephone_number": "773-967-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORDI",
"first_name": "NEVILLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036102632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036102632",
"state": "IL"
}
],
"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 Aug 4, 2015; 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.