Active NPI
Muhidin Abukar
- Certified Registered Nurse Anesthetist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209-023368
- Practice address
- 1226 Rockridge PL
Saint Louis, MO 63122-7350 - Phone
- (224) 601-4245
- NPI assigned
- Mar 21, 2021
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209-023368 | IL | Primary |
Addresses
Primary practice location
1226 Rockridge PL
Saint Louis, MO 63122-7350
Mailing address
1226 Rockridge PL
Saint Louis, MO 63122-7350
Phone (224) 601-4245
Other practice location 1
1425 N Randall Rd
Elgin, IL 60123-2300
Phone (847) 841-7138
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mabukar327731@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100
5666 E State St
Rockford, IL 61108-2425
Phone (815) 226-2000
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
- Carle Foundation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-023368 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stateline Anesthesiologists SC | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
5666 E State St
Rockford, IL 61108
Phone (815) 226-2000
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
IL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Anesthesiology Physician
- Beloit, WI
- NPI 1316937519
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1366028318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 ROCKRIDGE PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631227350",
"telephone_number": "224-601-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 ROCKRIDGE PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631227350",
"telephone_number": "224-601-4245"
}
],
"practiceLocations": [
{
"address_1": "1425 N Randall Rd",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "IL",
"postal_code": "601232300",
"country_code": "US",
"telephone_number": "847-841-7138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABUKAR",
"first_name": "MUHIDIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-21",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209-023368",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mabukar327731@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1425 N Randall Rd",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601232300",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1425 N Randall Rd",
"city": "Elgin",
"state": "IL",
"country_code": "US",
"postal_code": "601232300",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.