Individual provider Active NPI

Mohammad Alam, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1366524050
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-086041 Issued in IL
Practice address
1542 W Devon Ave
Chicago, IL 60660-1344
Phone
(773) 465-4600
Fax
(773) 465-4666
NPI assigned
Oct 20, 2006
Last updated
May 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-086041 IL Primary

Addresses

Primary practice location

1542 W Devon Ave
Chicago, IL 60660-1344

Mailing address

1542 W Devon Ave
Chicago, IL 60660-1344
Phone (773) 465-4600

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
I20250911003108 IL Practitioner - Family Practice 2365500329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamdard Health AllianceGroup PAC ID 4880680289, 18 clinicians

Practice addresses (Care Compare)

1542 W Devon Ave
Chicago, IL 60660-1344
Phone (630) 835-1430

228 E Lake St
Addison, IL 60101-2889
Phone (630) 835-1430

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-086041ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamdard Health Alliance Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mohammad.alam.1@10099.direct.athenahealth.com

Organizations & group practices 2

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.

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1366524050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601344",
            "telephone_number": "773-465-4600",
            "fax_number": "773-465-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601344",
            "telephone_number": "773-465-4600",
            "fax_number": "773-465-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-086041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.