Individual provider Active NPI

Neville Mordi, MD

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1295879450
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036102632 Issued in IL
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

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036102632MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 3779832530, 883 clinicians
Roseland Community Hospital AssociationGroup PAC ID 8325936644, 9 clinicians
Redreef Anesthesia Associates Chartered Indiana LLCGroup PAC ID 7012459647, 36 clinicians

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 Hospital, Gary, IN, CCN 150002
  • Roseland Community Hospital Hospital, Chicago, IL, CCN 140068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036102632ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Southern Illinois Surgery Center LLC Anesthesiology CurrentSince Oct 31, 2019 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Nov 23, 2019 Accepting new patients
Roseland Community Hospital Association Anesthesiology CurrentSince Aug 19, 2022 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Anesthesiology CurrentSince Nov 23, 2019 Accepting new patients
Redreef Anesthesia Associates Chartered Indiana LLC Anesthesiology CurrentSince Apr 25, 2024 Accepting new patients
Roseland Community Hospital Association CurrentSince Aug 19, 2022 Accepting new patients
Friedell Clinic, S. C. Anesthesiology CurrentSince Sep 15, 2020 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.