Individual provider Active NPI

Mohammed Rihan Ahamed Rifai, B.SC.

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1376291245
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
14D2254754 Issued in IL
Practice address
3300 W Lawrnce Ave Ste 1W
Chicago, IL 60625-5203
Phone
(574) 516-8045
NPI assigned
Mar 10, 2022
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 14D2254754 IL Primary

Addresses

Primary practice location

3300 W Lawrnce Ave Ste 1W
Chicago, IL 60625-5203

Mailing address

3300 W Lawrnce Ave Ste 1W
Chicago, IL 60625-5203
Phone (574) 516-8045

Other practice location 1

4605 N Clark St
Chicago, IL 60640-4619
Phone (574) 516-8045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care Medical Group Inc Clinical Medical Laboratory CurrentSince Sep 13, 2021 Accepting new patients

Locations

3300 W Lawrence Ave
Ste 1W
Chicago, IL 60625
Phone (574) 516-8045

4605 N Clark St
Chicago, IL 60640
Phone (574) 516-8045

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": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1376291245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W LAWRNCE AVE STE 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255203",
            "telephone_number": "574-516-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W LAWRNCE AVE STE 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255203",
            "telephone_number": "574-516-8045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4605 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606404619",
            "country_code": "US",
            "telephone_number": "574-516-8045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHAMED RIFAI",
        "first_name": "MOHAMMED RIHAN",
        "credential": "B.SC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D2254754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.