Adel Mouradi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036111174 Issued in IL

Practice address

1900 Silver Cross Blvd
Suite 2125
New Lenox, IL 60451-9509

Phone

(815) 300-1100

Fax

(815) 300-4848

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Hospitalist Consultants Group S.C.

  • Internal Medicine Physician
  • New Lenox, IL
  • NPI 1215125752

  IL, Internal Medicine

  Medicare reassignment NPD Authorized official
• Will County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Joliet, IL
  • NPI 1902811714

  IL

  Medicare reassignment NPD
• County of Will

  • Health Service Clinic/Center
  • Joliet, IL
  • NPI 1932114758
  NPD
• Will County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Monee, IL
  • NPI 1053870204
  NPD
• Signature Healthcare Solutions,SC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1477664639

  Internal Medicine

  NPD (past)
• Cardio-Pulmonary Associates, P.C.

  • Pulmonary Disease Physician
  • Munster, IN
  • NPI 1790850766
  NPD (past)
• Heart-Lung Health Centers

  • Internal Medicine Physician
  • Munster, IN
  • NPI 1336216662

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306949367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 MAPLE AVE STE 335",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322329",
            "telephone_number": "815-300-5376",
            "fax_number": "815-300-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SILVER CROSS BLVD",
            "address_2": "SUITE 2125",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519509",
            "telephone_number": "815-300-1100",
            "fax_number": "815-300-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURADI",
        "first_name": "ADEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036111174",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01059035A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "036111174",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204374",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randell Morelli Jr.
• Jenna L Moreno
• Alexandra Paige Morgan
• Patricia M. Morrin, PSY.D.
• Anthony David Morse
• Emma Kate Moyle, RN
• Cathy Ann Muckian
• Megan Elizabeth Mueller
• Phyllis Michelle Muellner, MD
• Gretchen Rae Mulheran, NP-C

• All providers in New Lenox, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.