Mouhammad E Souman, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036-049688 Issued in IL

Practice address

3452 Grove Ave
Suite 202
Berwyn, IL 60402-3636

Phone

(708) 484-0621

Fax

(708) 484-0250

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Suburban Surgical Associates, LTD

  • Surgery Physician
  • Hinsdale, IL
  • NPI 1821088667
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1366431322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 GROVE AVE",
            "address_2": "SUITE 202",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023636",
            "telephone_number": "708-484-0621",
            "fax_number": "708-484-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 GROVE AVE",
            "address_2": "SUITE 202",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023636",
            "telephone_number": "708-484-0621",
            "fax_number": "708-484-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUMAN",
        "first_name": "MOUHAMMAD",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-049688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049688",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL GROUP NUMBER",
            "identifier": "01619787",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Sommers, CNM
• Chandrasekhar Sompalli, MD
• Sonus-USA, Inc.
• Sos Chiropractic Inc.
• Michelle Soto
• South Berwyn School Dist 100
• Soy Bilingual Speech Therapy, LLC
• Joseph Spagnola III, NP, FPA, PMHNP-BC
• Specialized Rehabilitation Services, Inc
• Maria Aparecida Andreotti Spizzirri, M.D.

• Surgery Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.