Individual provider Active NPI

Yousuf Mohammed, M.D.

  • Family Medicine Physician
  • New Lenox, IL
National Provider Identifier
1386615607
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01060197A Issued in IN
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200509140MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000231 IL Practitioner - Family Practice 7214990886 Reassigns benefits to 2 organizations

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
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

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

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC Family Medicine CurrentSince Jun 29, 2025 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.