Individual provider Active NPI

Mina Foroohar, M.D.

  • Neurological Surgery Physician
  • Arlington Heights, IL
National Provider Identifier
1356383806
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036099751 Issued in IL
Practice address
880 W Central Rd Ste 4200
Arlington Heights, IL 60005-2381
Phone
(847) 398-9100
Fax
(847) 398-9111
NPI assigned
Jun 11, 2006
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036099751 IL Primary

Addresses

Primary practice location

880 W Central Rd Ste 4200
Arlington Heights, IL 60005-2381

Mailing address

880 W Central Rd Ste 4200
Arlington Heights, IL 60005-2381
Phone (847) 398-9100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031117000328 IL Practitioner - Neurosurgery 7911811724

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Neurosurgery Institute LLC Neurological Surgery CurrentSince Nov 28, 2005 Accepting new patients

Locations

880 W Central Rd
Ste 3200
Arlington Heights, IL 60005

880 W Central Rd
Ste 4200
Arlington Hts, IL 60005
Phone (847) 398-9100

Interoperability endpoints

  • Direct secure messaging: minaforoohar@ihallc.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1356383806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD STE 4200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052381",
            "telephone_number": "847-398-9100",
            "fax_number": "847-398-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD STE 4200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052381",
            "telephone_number": "847-398-9100",
            "fax_number": "847-398-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROOHAR",
        "first_name": "MINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036099751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.