Active NPI
Yousuf Mohammed, M.D.
- Family Medicine Physician
- New Lenox, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01060197A
- Practice address
- 410 E Lincoln Hwy Ste 251
New Lenox, IL 60451 - Phone
- (815) 485-2541
- Fax
- (815) 838-2656
- NPI assigned
- Jan 27, 2006
- Last updated
- Mar 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036111264 | IL | |
| Family Medicine Physician | 207Q00000X | 01060197A | IN | Primary |
Addresses
Primary practice location
410 E Lincoln Hwy Ste 251
New Lenox, IL 60451
Mailing address
1000 Remington Blvd Ste 100
Bolingbrook, IL 60440-4707
Other practice location 1
1225 E Coolspring Ave
Michigan City, IN 46360-6312
Phone (219) 878-5010
Other practice location 2
16615 S Route 59
Plainfield, IL 60586-2921
Phone (815) 436-7303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200509140 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ymohammed70159@ce-direct.presencehealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800
201 N Hammes Ave
Joliet, IL 60435-6611
Phone (224) 273-6350
329 Remington Blvd
Suite 100
Bolingbrook, IL 60440-5894
Phone (630) 850-2120
396 Remington Blvd
Bolingbrook, IL 60440-4311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Illinois Medical Group LLC | Family Medicine | Current | Accepting new patients |
| Healthpartners Medical Group, LLC | Past | Accepting new patients | |
| Dunes Optical, LLC | Past | Accepting new patients | |
| Decatur Emergency Medical Services II S C | Past | Accepting new patients | |
| Medical Group Surgery Center LLC | Past | Accepting new patients |
Locations
1801 W Olympic Blvd
#2636
Pasadena, CA 91199
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350
16615 S Route 59
Plainfield, IL 60586
Phone (815) 436-7303
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
Family Medicine
-
- Multi-Specialty Clinic/Center
- La Grange, IL
- NPI 1932650496
-
- Emergency Medical Services (Emergency Medicine) Physician
- Decatur, IL
- NPI 1699881508
-
- Optometrist
- Michigan City, IN
- NPI 1306943436
-
dba HealthPartners
- Multi-Specialty Clinic/Center
- Michigan City, IN
- NPI 1013014158
-
dba Healthpartners Medical Group Sugery Center
- Ambulatory Surgical Clinic/Center
- Michigan City, IN
- NPI 1760518617
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Bolingbrook
- General Acute Care Hospital
- Bolingbrook, IL
- NPI 1164530465
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
dba Adventhealth Hinsdale
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1386615607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 REMINGTON BLVD STE 100",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404707",
"fax_number": "630-914-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E LINCOLN HWY STE 251",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "60451",
"telephone_number": "815-485-2541",
"fax_number": "815-838-2656"
}
],
"practiceLocations": [
{
"address_1": "1225 E Coolspring Ave",
"address_purpose": "LOCATION",
"city": "Michigan City",
"state": "IN",
"postal_code": "463606312",
"country_code": "US",
"telephone_number": "219-878-5010",
"fax_number": "219-878-8493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16615 S Route 59",
"address_purpose": "LOCATION",
"city": "Plainfield",
"state": "IL",
"postal_code": "605862921",
"country_code": "US",
"telephone_number": "815-436-7303",
"fax_number": "815-609-7980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAMMED",
"first_name": "YOUSUF",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036111264",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01060197A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200509140",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ymohammed70159@ce-direct.presencehealth.org",
"affiliation": "N",
"address_1": "410 E Lincoln Hwy Ste 251",
"city": "New Lenox",
"state": "IL",
"country_code": "US",
"postal_code": "60451",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.